Could a surgery to increase nose tip projection be done w/out pulling out the upper lip with it? (Photos)

Question

Would skin graft be necessary? Had a surgery to correct a deviation. The surgeon decided to take out chunks of my columella and nasal dome against my wishes that my nostrils and nose tip remain unchanged. Now my nostrils are pinched inwards and aiming down and my nose tip is disproportioned in juxtaposition with my bridge. If I lift the tip of my nose with my finger, the tip becomes fuller and I can see my nostrils in the mirror and actually recognize myself, but it pulls my lip up too. Can surgery be done w/out causing that?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may benefit from a revision rhinoplasty that focuses on increasing the nasal tip projection, also known as a tip rhinoplasty. This procedure can correct the size, shape, and definition of your nasal tip and nostrils to produce a result that complements the rest of your facial features. This may require the removal of tissue or insertion of cartilage grafts, though the specific steps and the impact they may have on your upper lip’s appearance should be discussed with the performing surgeon. 
It’s important to note that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The requirement of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, discuss your concerns with you, and answer any questions you may have.

Randal Haworth, MD, FACS · Answer

Hello !

It looks like you would benefit from a revision tip plasty. The objective would be to achieve a well-proportioned nose with a nose tip that is in harmony with the rest of the nose and has a desirable projection.

Grafting is often required to provide structural support and address scarring after a primary rhinoplasty.

In rhinoplasty procedures, two muscles that are typically adjusted are the levator labi superioris alaeque nasi (LLSAN) and the depressor septi nasi (DSN), which are the primary muscles responsible for controlling the position of the upper lip. These muscles play a crucial role in achieving the desired aesthetic outcome of the procedure.

To minimize the likelihood of patients feeling dissatisfied with the results of rhinoplasty, it's important to take into account the position of the upper lip prior to the surgery, and to recognize the impact that the surgical changes can have on the lip's position. This should be considered a significant factor in determining the overall success of the treatment.

This is why it is very important to consult with a skilled and experienced facial plastic surgeon.

I hope this helps,
Best of luck !

Randal Haworth

Could a surgery to increase nose tip projection be done w/out pulling out the upper lip with it? (Photos)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

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Could a surgery to increase nose tip projection be done w/out pulling out the upper lip with it? (Photos)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.