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I need to see photographs in order to advise you. There are many reasons for supratip fullness. You need to see several rhinoplasty revision experts who can advise you on the best approach for your problem.
The supratip is an area just slightly above the nasal tip just before the bridgeline starts. Some patients have a convex supratip, while others have a slightly concave supratip, known as a supra-tip break. A supra-tip break is a natural defining point between bridgeline and the tip. The nose is a three-dimensional structure, so any changes made to the supratip will be noticed in three dimensions.
Supratip fullness has nothing to do with support, i.e. making your nose straight; it does have to do with making your tip less prominent as it should be lower than the tip; most often it remains higher than the tip not the lead point of the dorsum; often called polly beak deformity; to lower the supratip you must consider removal of dorsal septal cartilage, soft tissue fat.
Supratip fullness can be removed by lowering the profile above the tip or increasing tip projection. A picture would be helpful but this can be accomplished with lengthening your nose as you asked in a previous post.
Columella incision is used for revision rhinoplasties and it heals well; could you provide a photo of your swollen columella and what it is that you are tyring to achieve.
All synthetic implants carry a risk of infection, extrusion, or worse. This is especially true in secondary, or revision rhinoplasty patients. The Gore-Tex won't be so hard to remove, but a 4 mm. difference in height will be easily noticed. I would recommend using your own cartilage to replace...
It's hard to tell if you have an open roof deformity from looking at a photo, but if you are unhappy with the width of the upper part of your nose, then this can generally be narrowed with osteotomies or breaking of the bones. Rebreaking the nasal bones is usually not a big concern. Please c...
Since it has been nearly a year following your rhinoplasty, I think it is safe to consider consulting with your surgeon once more and discussing your concerns. He or she will be able to review your photos post-surgery and can best determine what is causing the issues with your tip...
Correction of dark hyperpigmented skin scar of nose. closure of the open rhinoplasty scar is the easiest part of the surgery and in 40 years of open rhinoplasty I've never revised one scar or been asked to. Secondarily you need a revision to lengthen the nose as well as narrow the tip and b...
Some surgeons will use extended antibiotics after grafting. This may include a cephalosporin if you do not have an allergy. But there are several choices.