Can domal sutures be undone? (Photo)

Question

In a maneuver to make my tip thinner, I suspect my surgeon made some domal sutures. I’m not sure if it was the case, he just told me he projected it by 1mm longer. It gave my tip a triangular shape that I don’t like, I think it was more natural before. Not sure if he removed cartilage but I don’t think so because he uses a preserving technique. If this change was made by sutures through the dome and lateral cartilages, can it be undone? Can the domes be released from the sutures and scar tissue?

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. You can get your  operative report to know what has been done.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, the best way to accomplish your goals in a revision would be with nasal tip deprojection and yes, the domal stitches can be removed at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Can domal sutures be undone? (Photo)

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Can domal sutures be undone? (Photo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.