Rhinoplasty or Revision Rhinoplasty? What would you recommend to fix the bulbous, droopy tip? (Photos)

"cartilage grafting to prevent nostril collapse" involves modification of the areas on or adjacent to the tip cartilages, and that generally does complicate the next operation, sort of like a previous rhinoplasty complicates the next one, but hopefully not nearly as significantly. In the before and after you posted, the tip seemed to be droopy in the before, and it seems quite a bit wider in the after, and still droopy. Frankly, I don't love functional operations with grafting that will significantly change what the nose looks like when they're done without considering or addressing what the patient wants the nose to look like ideally. They also don't routinely work well enough on the nose's function to possibly make the risk reasonable.

Anyway, what you would do now is figure out how your nose looks different from what you want it to look like, and find a surgeon who feels he can address those changes. Morphs are very important, so you can fine-tune the goal, and you can see whether the surgeon has in mind the same changes that you might be describing verbally.

Hello and thank you for your question. Based on your, you may benefit from a revision rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. Nostril symmetry can also be improved. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon