Is a second revision rhinoplasty successful to refine tip?

Question

I had rhinoplasty two years ago to fix the dorsal hump and tip. The tip still seems bulbous to me and droops when I smile. I am seeking a professional option about second revision surgery and how successful they are for refining the tip? Is it pretty risky?

William Portuese, MD · Answer

A droopy tip at rest is treated differently than and droopy tip with animation. A droopy tip at rest can be lifted up with the tip rhinoplasty. To prevent the tip from drooping when smiling, releasing of the depressor septi ligament is required. The bulbous tip can be reduced with either cartilage removal techniques or suture techniques applied to the nasal tip.

Edward J. Domanskis, MD (in memoriam) · Answer

Another rhinoplasty can help but it really depends on what was done the first time. More cartilage can be removed or even added to gain more projection,etc.

Michael Elam, MD (retired) · Answer

Dear Jn621, Revision rhinoplasty for tip refinement is a successful procedure and has the same risks of any rhinoplasty procedure. Without photographs and knowing your expectations it would be hard to say if you are a candidate for this procedure. Consultation and examination will be able to answer those questions for you. Best regards, Michael V. Elam, M.D.

Richard W. Fleming, MD (retired) · Answer

I will try to answer your questions but without pictures my responses will be generic. Your tip can be refined either by your surgeon or a physician who specializes in revision rhinoplasty. After an examination alternatives and expectations can be described. There are risks with any surgery but this should be clearly explained to you before making any decisions.

Is a second revision rhinoplasty successful to refine tip?

Answers (4)

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