I have previously had open rhinoplasty to straighten and remove a bump on my nose bridge. The surgeon managed to talk me out of modifying the nose tip. But now this is bugging me and I avoid photos and smiling because of this. I need advice on whether to focus on droopy tip, bulbous tip and/or symmetry?
Answers (3)
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Thank you for the great question. One of the major advantages of diced cartilage in fascia (DCIF) or diced cartilage fibrin glue grafts is that they don't warp. Warping is a common problem with rib grafts that are placed en bloc (as a large piece). The diced grafts don't have the same internal...
It looks like you also had some reshaping of the tip: i.e. a rhinoplasty. Tip projection can be restored with a cartilage graft but sine your septum has been resected this would require rib cartilage. it is possible the cadaver rib could be used.
The best way to augment the dorsum with a controlled shape is finely morselized cartilage Inam fascial wrap. A single cartilage graft will have a high risk of edges. Using filler to give a temporary result would help you visualize what you want. Revision rhinoplasty with cartilage graft...