Insufficient skin for nose extensions. Can V-Y advancement flap allow to make the strip of skin between nostrils longer?

Question

I mainly see surgeons saying that noses cannot be enlarged much during revision because of the amount skin present. In my previous surgery my tip was over reduced. Excess coullumela skin was removed in operation. I want to project my tip more in revision(possibly even to the previous projection length), But it there isnt enough skin now in septum. Can V-Y advancement flap allow to make the strip of skin between nostrils longer and allow more cartilage insertion in septum for tip extension ?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Photographs would be helpful here. Generally speaking skin is not the limiting component in this situation. It is the underlying cartilage framework that needs to be expanded and scar tissue needs to be released. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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

Best wishes and good luck.

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

Insufficient skin for nose extensions. Can V-Y advancement flap allow to make the strip of skin between nostrils longer?

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