Hello. I had a rhinoplasty done about 9 years ago. One thing I am unhappy with is the tip. I feel like it's just a little to round and my nostrils are just a little to retracted up. I was wondering if lifting the columella, bringing back the infratip lobule ( I think that's what it's called) and shaving down the supratip lobule a bit will help fix this and possibly without the use of grafts? Thank you!
Answer: Rhinoplasty revision What you describe is exactly what needs to be done. You have two of the most common issues seen in revision rhinoplasty. A hump that was not lowered enough and a hanging columella. Both can be corrected without the use of cartilage grafts
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Answer: Rhinoplasty revision What you describe is exactly what needs to be done. You have two of the most common issues seen in revision rhinoplasty. A hump that was not lowered enough and a hanging columella. Both can be corrected without the use of cartilage grafts
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January 16, 2018
Answer: Revision rhinoplasty without using grafts It may or may not be possible to correct your concerns. That being said it depends upon whether or not the underlying tissue is strong enough or stable enough to make the changes you desires. The cartilage inside your nose is a very good source of graft material and is very durable over time should your surgeon need to use that to improve the areas of concern.
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January 16, 2018
Answer: Revision rhinoplasty without using grafts It may or may not be possible to correct your concerns. That being said it depends upon whether or not the underlying tissue is strong enough or stable enough to make the changes you desires. The cartilage inside your nose is a very good source of graft material and is very durable over time should your surgeon need to use that to improve the areas of concern.
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January 10, 2018
Answer: Grafts in Revision Rhinoplasty It is very common to use grafts in revision (and primary) rhinoplasty. These grafts allow the surgeon to augment and support the existing cartilage structure of the nose. They can add stability, strength and definition to the various areas of the nose. Your own cartilage, often from the nasal septum, is the preferred material for these grafts. To achieve the look you desire, based on the images provided, it looks like you would need some work on the supratip region as well as alar rim grafts. It is best to seek out a rhinoplasty expert and allow them to use their expertise to plan your surgery. You do not want to limit what they can do by avoiding the use of grafts if they are necessary. Cartilage grafts are safe and effective when used properly
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January 10, 2018
Answer: Grafts in Revision Rhinoplasty It is very common to use grafts in revision (and primary) rhinoplasty. These grafts allow the surgeon to augment and support the existing cartilage structure of the nose. They can add stability, strength and definition to the various areas of the nose. Your own cartilage, often from the nasal septum, is the preferred material for these grafts. To achieve the look you desire, based on the images provided, it looks like you would need some work on the supratip region as well as alar rim grafts. It is best to seek out a rhinoplasty expert and allow them to use their expertise to plan your surgery. You do not want to limit what they can do by avoiding the use of grafts if they are necessary. Cartilage grafts are safe and effective when used properly
Helpful
January 10, 2018
Answer: The Use of Grafts in Revision Rhinoplasty Although you are thinking about the potential negatives regarding the use of grafts, cartilage grafts during a revision rhinoplasty are not only useful, but often necessary. You have to imagine that a revision rhinoplasty is difficult for many reasons, but one of the most challenging issues is the formation of scar tissue. Scarring forces can pull the cartilage framework of the nose in one direction or another, causing cartilage to warp and twist. Therefore, placing cartilage grafts to augment the framework. It's very similar to creating the A-frame in building a house. The beams are correctly placed in order to create a very stable structure. This is similar with the infrastructure to the nose.
Helpful
January 10, 2018
Answer: The Use of Grafts in Revision Rhinoplasty Although you are thinking about the potential negatives regarding the use of grafts, cartilage grafts during a revision rhinoplasty are not only useful, but often necessary. You have to imagine that a revision rhinoplasty is difficult for many reasons, but one of the most challenging issues is the formation of scar tissue. Scarring forces can pull the cartilage framework of the nose in one direction or another, causing cartilage to warp and twist. Therefore, placing cartilage grafts to augment the framework. It's very similar to creating the A-frame in building a house. The beams are correctly placed in order to create a very stable structure. This is similar with the infrastructure to the nose.
Helpful
January 10, 2018
Answer: Revision rhinoplasty possible without the use of grafts? Without the benefit of in person exam and more detailed photos- it is impossible to give the best answer. However, based on the very limited profile picture- improvement -can -in my opinion be achieved -through the internal/closed technique. The decision for grafting must be reserved for following the physical exam, and the opinion of the experienced Board Certified PS
Helpful
January 10, 2018
Answer: Revision rhinoplasty possible without the use of grafts? Without the benefit of in person exam and more detailed photos- it is impossible to give the best answer. However, based on the very limited profile picture- improvement -can -in my opinion be achieved -through the internal/closed technique. The decision for grafting must be reserved for following the physical exam, and the opinion of the experienced Board Certified PS
Helpful
