How Do You Access Beneath Columnella Skin (Closed Rhinoplasty)?

Good morning Maverick03, I hope this message finds you well. In a rhinoplasty that requires augmentation via cartilage we have various options on the table. To accentuate the nasal tip and straighten the septum, if current septal cartilage falls short we prefer to use harvested rib cartilage. If...

In general it is ideal to wait at least 12 months before any revision surgery to allow full healing to occur. There may be a few exceptions to this, and this would be best determined by your rhinoplasty surgeon and your particular case.

Hi @Genuine209146! I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!

Often times, if a dent arises in the nose after rhinoplasty, it can be improved with a filler. If this works, then silicone can be placed which will give a more permanent result. It is certainly easier than going through another surgery. Be sure to see an experienced injector for consultation.

If your droopy nasal tip appearance is bothering you, the best way to address this may be with revision rhinoplasty. In our experience, fillers do not lead to tip lifting. If you decide to do further surgery, your operative report may be helpful to see what has been done. Wishing you well. Dr Joseph

We do many revision rhinoplasties. It should be possible to cushion or reposition the nasal bones to minimize discomfort and improve the appearance.