What kind of rhinoplasty do I need? (ethnic) Can I get a lip lift simultaneously?

Question

I want my tip + nostrils smaller/less bulky, and my bridge thinner and straighter. I only want a little tip lifting, just so that when I smile my nose doesn't droop. A surgeon suggested open rhinoplasty w/ septal graft, but I see that many doctors use rib cartilage... I really dislike the distance between my upper lip and the base of my nose (you can't tell as much in this picture b/c my head is raised). Can I get a lip lift at the same time of the rhinoplasty, or what order? Before or after?

Steven J. Pearlman, MD, FACS · Answer

We often use cartilage grafts in rhinplasty to support the nasal structures, even when making the nose smaller. The most common source is cartilage from your own septum. As for lip lift, this can be done at the same time as a rhinoplasty except when we are narrowing the nostrils. When the nostrils are being narrowed, the incision is partially where the lip lift incision is and they should be staged as not to affect the changes on the nose. For a definitive plan, you should see a specialist in facial surgery.

Caner Kacmaz, MD · Answer

Thank you for your Question.

The operation will be done by using the latest Ultrasonic Rhinoplasty device Piezo®: 
In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

Ronald J. Edelson, MD · Answer

I don’t think any cartilage graft is needed at all. You might want the nostril f  flare treated with a  K at wedge resection. I would skip the lip lift. With your skin type you risk a poor scar and the lip lift often didn’t do what you expect it to.

What kind of rhinoplasty do I need? (ethnic) Can I get a lip lift simultaneously?

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