Revision Rhinoplasty: Thin skin and visible cartilage - would you recommend Fascia? (Photos_
I am considering revision rhinoplasty and would appreciate opinions from experienced revision surgeons. I had my first rhinoplasty in 2013. I have very thin nasal skin, a slight depression on the right side of my bridge, and asymmetry of my tip cartilages (one side sits higher than the other and is visible through the skin). My surgeon’s plan is to straighten the septum, add cartilage to the dipped side of the bridge, and even out the tip cartilages by reducing the higher side. He explained that because my skin is very thin, the cartilage may still be visible after surgery, although it should appear more symmetrical. He offered the option of placing temporalis fascia over the tip to camouflage the cartilage and smooth irregularities, but said it could add some thickness to the tip. For patients with thin skin and visible tip cartilage, would you generally recommend adding fascia over the tip during revision rhinoplasty? In your experience, does the improvement in smoothness and camouflage usually outweigh the potential loss of tip definition or slight increase in tip size? What will be the best outcome aesthetically? Thank you for your thoughts.


