had a primary rhinoplasty in 2006 (to remove/bump lift the tip- no pics, sorry) when it healed, I started to see the graft showing (Pictures). The doctor smoothed it over (2007). It's been 10 years since that and I'm trying to not feel sad about the fact that my pointy, droopy nose makes me feel self conscious (Pictures shown). droops when smiling. Taking pictures is tricky because I feel so droopy/pointy, but I don't want to make a bad thing worse. Am I a good candidate for another revision?
January 17, 2017
Answer: Tertiary rhinoplasty revision. Am I a good candidate? A tertiary rhinoplasty is a very difficult endeavor, so usually a thorough internal and external examination of the nose is required to make a determination. The tip of the nose can be conservatively lifted with a rhinoplasty procedure and additional cartilage grafts can be placed on the depression on the patient's left-sided nasal tip. It's important to know how much cartilage is left on the inside of the nose for potential grafting purposes. Releasing of the depressor septi ligament will prevent the tip from drooping when smiling. The hanging columella can also be reduced as well. For more information and many before and after revision rhinoplasty examples, please see the link and the video below
Helpful 1 person found this helpful
January 17, 2017
Answer: Tertiary rhinoplasty revision. Am I a good candidate? A tertiary rhinoplasty is a very difficult endeavor, so usually a thorough internal and external examination of the nose is required to make a determination. The tip of the nose can be conservatively lifted with a rhinoplasty procedure and additional cartilage grafts can be placed on the depression on the patient's left-sided nasal tip. It's important to know how much cartilage is left on the inside of the nose for potential grafting purposes. Releasing of the depressor septi ligament will prevent the tip from drooping when smiling. The hanging columella can also be reduced as well. For more information and many before and after revision rhinoplasty examples, please see the link and the video below
Helpful 1 person found this helpful
January 18, 2017
Answer: Tertiary Revision Rhinoplasty Your sequence of photos demonstrate some persistent concerns with nasal tip support, length, cartilage deformity left ala, over-resected dorsum and middle vault issues. In short, you could benefit from tertiary rhinoplasty with cartilage graft reconstruction, but your case requires a surgeon with exceptional skills and expertise. Since you are located in Chicago, I suggest you consult with Dr. Dean Toriumi at the University of Illinois at Chicago for a thorough evaluation. He will provide you with an honest opinion regarding the effectiveness of a tertiary procedure and then you can decide if you wish to pursuit additional improvement. Hope this helps.
Helpful 1 person found this helpful
January 18, 2017
Answer: Tertiary Revision Rhinoplasty Your sequence of photos demonstrate some persistent concerns with nasal tip support, length, cartilage deformity left ala, over-resected dorsum and middle vault issues. In short, you could benefit from tertiary rhinoplasty with cartilage graft reconstruction, but your case requires a surgeon with exceptional skills and expertise. Since you are located in Chicago, I suggest you consult with Dr. Dean Toriumi at the University of Illinois at Chicago for a thorough evaluation. He will provide you with an honest opinion regarding the effectiveness of a tertiary procedure and then you can decide if you wish to pursuit additional improvement. Hope this helps.
Helpful 1 person found this helpful