Req second opinion: Is a revision rhino for shaving down the supratip and removal of hanging columella very complex? (Photos)

Your shape is commonly seen after rhinoplasty and is due mostly to loss of tip projection during the healing process which has also caused excess columellar show ( hanging columella). A formal revision rhinoplasty would be required with resection of scar tissue and increased tip support with a strong columellar strut graft or septal extension graft. This is best achieved with an open rhinoplasty approach and best delayed until a fulln12 months after the first operation. Any revision rhinoplasty is more complex than the primary rhinoplasty but in an experienced surgeon’s hands your goals are realistic.

Revision rhinoplasty is always more difficult than a primary rhinoplasty due to the fact that there have been previous alterations to the normal anatomy and scar tissue present. Thick skin in the tip of the nose prevents refinements in that area, so it is important to have realistic expectations. The digitally altered photographs do appear realistic.