In the last few months I have noticed a change in my nose tip in that one side seems to have become higher than the other. A dermatologist told me it's just the nose cartilidge changing with age. I am on very low dose isotretinion for my skin. Is it possible to have a filler to even out the middle of the tip of the nose?
Answer: Filler vs rhinoplasty? You could try filler first and then if you like it have a permanent collection with a rhinoplasty.
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Answer: Filler vs rhinoplasty? You could try filler first and then if you like it have a permanent collection with a rhinoplasty.
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February 19, 2017
Answer: Rhinoplasty Hello and thank you for your question. If you seek a permanent and stable fix, I would recommend a surgical rhinoplasty. The asymmetry is due to your lower lateral cartilage. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. 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
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February 19, 2017
Answer: Rhinoplasty Hello and thank you for your question. If you seek a permanent and stable fix, I would recommend a surgical rhinoplasty. The asymmetry is due to your lower lateral cartilage. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. 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
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Answer: Rhinoplasty Thank you for your photos. It is possible to fill in the tip of the nose between your cartilage with injectable filler if performed carefully. Aggressive or incorrect injection can cause permanent tissue damage or loss to the tip of your nose and the results will subside over time. A rhinoplasty to alter your nasal tip framework can be done as well for a permanent fix. Isotretinion will hinder your skin's ability to heal and therefore you may need to discontinue the treatment if possible for six months before proceeding with surgery. It is best to have an in-office examination to determine the most effective and safest options available to you. Hope this helps!Johnson C. Lee, MD Plastic Surgery
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Answer: Rhinoplasty Thank you for your photos. It is possible to fill in the tip of the nose between your cartilage with injectable filler if performed carefully. Aggressive or incorrect injection can cause permanent tissue damage or loss to the tip of your nose and the results will subside over time. A rhinoplasty to alter your nasal tip framework can be done as well for a permanent fix. Isotretinion will hinder your skin's ability to heal and therefore you may need to discontinue the treatment if possible for six months before proceeding with surgery. It is best to have an in-office examination to determine the most effective and safest options available to you. Hope this helps!Johnson C. Lee, MD Plastic Surgery
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February 19, 2017
Answer: Rhinoplasty: Filler or nose job for uneven nasal tip? Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance.Non-surgical rhinoplasty is a technique where a temporary filler is injected into the nose. Even if you like the result, you'll need repeat injections to maintain the result. Any filler injection bears the risk of blocking a blood vessel causing tissue loss. If this happens in the tip of the nose, it can be catastrophic. The reconstruction is difficult and it will never look as good as your original nose. My personal belief is that a rhinoplasty surgery would be more precise and long lasting. I like to use 3D computer simulation to get on the same page as my patient regarding potential changes that are appropriate to achieve a safe and happy outcome. Safety comes first.
Helpful
February 19, 2017
Answer: Rhinoplasty: Filler or nose job for uneven nasal tip? Rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance.Non-surgical rhinoplasty is a technique where a temporary filler is injected into the nose. Even if you like the result, you'll need repeat injections to maintain the result. Any filler injection bears the risk of blocking a blood vessel causing tissue loss. If this happens in the tip of the nose, it can be catastrophic. The reconstruction is difficult and it will never look as good as your original nose. My personal belief is that a rhinoplasty surgery would be more precise and long lasting. I like to use 3D computer simulation to get on the same page as my patient regarding potential changes that are appropriate to achieve a safe and happy outcome. Safety comes first.
Helpful
February 19, 2017
Answer: Filler or nose job for uneven nasal tip in the midportion of the nose? In our practice, we do not recommend nonsurgical rhinoplasty due to multiple complications that can occur from it, it is not FDA approved, and is only temporary. A surgical rhinoplasty can accomplish straightening the nasal bones with osteotomies, straightening the midportion of the nose with spreader graft placement, and straightening the tip of the nose with a tip-plasty. For more information and many surgical rhinoplasty examples, please see the link and the video below
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February 19, 2017
Answer: Filler or nose job for uneven nasal tip in the midportion of the nose? In our practice, we do not recommend nonsurgical rhinoplasty due to multiple complications that can occur from it, it is not FDA approved, and is only temporary. A surgical rhinoplasty can accomplish straightening the nasal bones with osteotomies, straightening the midportion of the nose with spreader graft placement, and straightening the tip of the nose with a tip-plasty. For more information and many surgical rhinoplasty examples, please see the link and the video below
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