Is it worth getting a revision for a caved in nose tip? (photos)

Though you may have a deviated nasal septum, if your goal is to improve upon your nostril margin asymmetry, depending on your examination, microdroplet Silikon-1000 nasal injections maybe considered. I hope this helps! Sincerely, Dr Joseph

Thanks Independent170994 for your question! It's understandable to be concerned about the appearance of your nose after rhinoplasty, especially since you're experiencing asymmetry and a caved-in tip.
Depending on the root cause of the problem, revision rhinoplasty can treat a caved-in nasal tip using a variety of techniques:


Causes of a caved-in tip include:
1- Poor healing.
2- Over-resection of cartilage: If too much cartilage is removed from the tip during the first rhinoplasty, the tip structure may become weaker and collapse.
3- Weak cartilages.
4- Scar tissue contracture: This condition causes the tip to be pulled inward, giving the impression of a caved-in area.
5- Insufficient support: Over time, the tip may droop or collapse due to improper support structures.
Reasons in support of revision surgery:
Significant asymmetry: Uneven nostrils and a caved-in tip might be obvious and detract from your self-esteem.
Functional issues: Revision septoplasty might enhance airflow if breathing is difficult due to the unequal nostrils.
Psychological impact: Revision can enhance your quality of life if you're continuously disturbed by the way your nose looks.professional.
Surgical techniques to fix a caved-in tip consist of: Cartilage grafting, Structural support and scar tissue management:
Specific technique used will depend on the severity of the caved-in tip, the quality of existing cartilage, and the patient's overall nasal structure. A skilled revision rhinoplasty surgeon will carefully assess these factors and tailor procedure accordingly.
Knowledge and expertise is essential: A highly qualified surgeon with a wealth of expertise performing these intricate operations is needed for revision rhinoplasty, particularly when it involves the tip.
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philospphy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

Hello and thank you for your question.

Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a formal revision rhinoplasty where the nasal tip cartilage is modified for a more refined, symmetric look without the caved in and prominent areas you mentioned. It also appears that your nasal tip is over-rotated (turned up) and, if this is indeed the case, I would recommend de-rotation with extended spreader grafts secured to a columellar strut. I would also place a mastoid fascia tip graft between the reconstructed tip complex and your skin to reduce the risk of cartilage prominence (tenting up of the nasal tip skin by cartilage), Also important, if your septum is deviated and you have breathing difficulty, a revision septoplasty may benefit you as well -- insurance can cover this and reduce the price of your surgery☝️

The next step for you is to pursue the right aesthetic plastic surgeon for your rhinoplasty. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, IN PERSON, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. I also think a key component of your consultation is to establish a good connection with your plastic surgeon. This is difficulty to do without seeing your surgeon in the office, in person. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. The tip asymmetry can be greatly improved with a combination of nasal tip deprojection, placement of a mastoid fascia tip graft, placement of extended alar contour grafts, among other maneuvers. 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

If it not bothers you in daily life , you dont need a revision . İt is an acceptable result for this case