How can you fix the tip of a nose which has been excessively trimmed in a revision rhinoplasty? (Photo)

Question

In a revision rhinoplasty 3 years ago, a surgeon trimmed the tip and sides of my lower cartilage (something which was not agreed to or discussed previously). The tip is now much more narrow, pinched and shapeless. How could a new revision correct this into a wider and more symmetrical tip, closer to what it was before? Can it be done without a full revision needing to deconstruct and reassemble the nose again? Can cartilage grafts be added to reconstruct it into what it was before?

Eric M. Joseph, MD · Answer

Generally, it is difficult to evaluate up close nasal photos. if you have visible indentations involving your tip,, microdroplet Silikon-1000 may be considered for restoring tip symmetry. An examination would be necessary to determine your candidacy. Hope this helps! Doctor Joseph

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! For an excessively narrowed and pinched tip, I prefer to deconstruct and rebuild. Depending on the skin thickness, you could place grafts on top without deconstruction but I would worry about show-through and not achieving the result you'd want. With careful rebuilding, you can return the shape of your nose toward your old one, though never the exact same. Hope that helps!

How can you fix the tip of a nose which has been excessively trimmed in a revision rhinoplasty? (Photo)

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