I like everything about my new nose but the tip. Im almost two yearsbmonths post op and I'm not thrilled about the tip. It's very round and sort of droopy. Especially in pictures. At my last follow up, my doctor acknowledged that the skin underneath the nose was a little loose but even with the new procedure, there's a chance it'll still look the same way it does now. He claims there's no way to get rid of the skin. Thoughts?
July 24, 2015
Answer: Revision rhinoplasty and chin implant candidate When contemplating a revision rhinoplasty, it's very important to have specific goals in mind on what you would like to accomplish with the procedure. Revision rhinoplasty as one of the hardest operations to perform correctly in the entire field of cosmetic surgery, so choose your rhinoplasty surgeon based on experience. The photographs do not demonstrate a droopy tip. There is a recessive chin profile present for which a chin implant could help out the overly projecting nose and improve the facial profile to help with facial balance and proportions
Helpful 1 person found this helpful
July 24, 2015
Answer: Revision rhinoplasty and chin implant candidate When contemplating a revision rhinoplasty, it's very important to have specific goals in mind on what you would like to accomplish with the procedure. Revision rhinoplasty as one of the hardest operations to perform correctly in the entire field of cosmetic surgery, so choose your rhinoplasty surgeon based on experience. The photographs do not demonstrate a droopy tip. There is a recessive chin profile present for which a chin implant could help out the overly projecting nose and improve the facial profile to help with facial balance and proportions
Helpful 1 person found this helpful
July 24, 2015
Answer: Revision Rhinoplasty There are several features that are quite nice. The sweep of the bridge off the base of the nose to the tip, the length of the nose, and the symmetry. It would be good to see the original photos as the current appearance can be quite an accomplishment. Having mentioned this, you have what seems to be features of the ball tip, where the tip cartilages are clumped together and upward. This can cause the nostrils to appear collapsed. An approach exclusively at the rims of the nostrils, delivering the clumped cartilages, and then rotating them out into a gull wing shape across the roof of each nostril iwould reduce the ball, and provide more nostril support to the sides. This procedure called cartilage delivery is designed for such problems. It helps shape and reposition tip cartilages and may include trimming or just a different rotation. For your surgeon who has created a nice tip angle, he or she may feel the risk for this type refinement might be too high against any benefit, especially if the achievement from your preop appearance has been compelling. We perform cartilage delivery in patients with a ball or parentheses tip. Sometimes the tip droops a bit and some cartilage may need to be placed in the central area called the columella at the conclusion of the procedure. The floor of the nostrils may also have to be reduced in a few patients as well. This is a complex type of revision but not uncommonly performed. You can google cartilage delivery for ball tip nasal issues.
Helpful
July 24, 2015
Answer: Revision Rhinoplasty There are several features that are quite nice. The sweep of the bridge off the base of the nose to the tip, the length of the nose, and the symmetry. It would be good to see the original photos as the current appearance can be quite an accomplishment. Having mentioned this, you have what seems to be features of the ball tip, where the tip cartilages are clumped together and upward. This can cause the nostrils to appear collapsed. An approach exclusively at the rims of the nostrils, delivering the clumped cartilages, and then rotating them out into a gull wing shape across the roof of each nostril iwould reduce the ball, and provide more nostril support to the sides. This procedure called cartilage delivery is designed for such problems. It helps shape and reposition tip cartilages and may include trimming or just a different rotation. For your surgeon who has created a nice tip angle, he or she may feel the risk for this type refinement might be too high against any benefit, especially if the achievement from your preop appearance has been compelling. We perform cartilage delivery in patients with a ball or parentheses tip. Sometimes the tip droops a bit and some cartilage may need to be placed in the central area called the columella at the conclusion of the procedure. The floor of the nostrils may also have to be reduced in a few patients as well. This is a complex type of revision but not uncommonly performed. You can google cartilage delivery for ball tip nasal issues.
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