Over a year ago, I had rhinoplasty to get rid of a hump on my nose. However, the tip of my nose was raised when this was not discussed to being altered, as I was very happy with where it was. I am now very unhappy with how my nose looks, it is straight. However, due to the height of my nose tip it doesn't look like me. I've talked to my surgeon many times and he's suggested using extended baton grafts but said it could cause swelling that will never go away, plus risk of infection. Please help.
Answer
I am sorry to hear of this experience. There are several ways to 'de-rotate' a nasal tip in revision surgery. Personally, I have performed this revision many times. It would be impossible for me to definitively answer this question for you specifically. There may be a miscommunication here, but batten grafts (?sp) may not be the answer. Several other options could exist. Perhaps you should seek a second opinion.
Dr. Sam P. Most, MD
Board Certified Plastic Surgeon
Answer
Hello,
Dr. Paul S. Nassif, MD
Board Certified Plastic Surgeon
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I would urge you to be cautious about your request. As soon as you lower the tip, it will seem as if the hump has returned. Drooping of the nasal tip or loss of support is a common side effect of aging that causes older patients to appear as if they have a more prominent nasal hump.
Dr. Otto Joseph Placik, MD
Board Certified Plastic Surgeon
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Lowering an over rotated nasal tip will involve several different surgical maneuvers. A thorough examination in combination with photographic analysis of your nose would be necessary to give you a good explanation of what would need to be done to fix your nose. Extended batten grafts are one of several procedures that have been used with good success, but, your problem may require addressing several other areas of your nose to give you an acceptable result.
Dr. Philip S. Schoenfeld, MD, FACS
Board Certified Plastic Surgeon
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Usually this raised tip is the result of cartilage and or skin being removed. Therefore, these need to be replaced. Over the past 30 years I have seen many noses like this. Make sure you see an experienced rhinoplasty surgeon who is familiar with the techniques for doing this.
Dr. Toby Mayer, MD
Board Certified Plastic Surgeon
