I’m just wondering if there’s any doctors on here who have performed on an over-rotated nose? I know the procedure is very complex, so the more information I can gather, the better. Any details of how I’d go about getting it to look less bulbous, also if the tip can be brought down so it doesn’t look as upturned? You’ll see there’s a symmetry issue as the nose veers off a little bit. Sorry if this sounds confusing, the pictures speak for themselves I guess. Please be kind. Kind regards, Shane
January 17, 2020
Answer: Yes, absolutely possible Hi and thanks for your questions and photographs. It is absolutely possible to improve the appearance of your nose with a surgical rhinoplasty. This procedure can be designed to refine the nasal tip and reduce the bulbosity. At the same time the nose can be de-rotated so that the nose does not look so up-turned. This would likely require a cartilage graft known as a caudal septal extension graft which helps elongate the lower part of your septum and gives a stable point to anchor the nasal tip so that it stays in the lowered position permanently. Because you haven't had prior nasal surgery, the cartilage for this graft can be removed from your nasal septum. I'd suggest in person consultation with a facial plastic surgeon experienced in nasal surgery who can perform a comprehensive physical examination and further assess your candidacy.
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January 17, 2020
Answer: Yes, absolutely possible Hi and thanks for your questions and photographs. It is absolutely possible to improve the appearance of your nose with a surgical rhinoplasty. This procedure can be designed to refine the nasal tip and reduce the bulbosity. At the same time the nose can be de-rotated so that the nose does not look so up-turned. This would likely require a cartilage graft known as a caudal septal extension graft which helps elongate the lower part of your septum and gives a stable point to anchor the nasal tip so that it stays in the lowered position permanently. Because you haven't had prior nasal surgery, the cartilage for this graft can be removed from your nasal septum. I'd suggest in person consultation with a facial plastic surgeon experienced in nasal surgery who can perform a comprehensive physical examination and further assess your candidacy.
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January 17, 2020
Answer: Rhinoplasty Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty which can be performed by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a nasal tip derotation and septal extension graft. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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January 17, 2020
Answer: Rhinoplasty Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty which can be performed by trimming, suturing, and reshaping the cartilage in your lower nose. You may also benefit from a nasal tip derotation and septal extension graft. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
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