Is it possible to remove a tip graft done to my nose, or can it be shortened? (photo)

Over 5 years ago I had a rhinoplasty and the dr added a tip graft and I do not like it. I feel that it's too pointy and even pointier when I smile. I wouldn't mind having my original tip, if possible. What would my options be to shortening the tip of my nose? NYC doctors especially welcome to answer! Thank you!

Doctor Answers 6

Tip Graft Removal To Nose

Tip grafting can be removed through either a closed or open approach.  The issue with tip grafting is that the soft tissues can contract around the graft, creating a visiblity of the graft.  

Chicago Facial Plastic Surgeon
4.8 out of 5 stars 166 reviews

Is it possible to remove a tip graft done to my nose, or can it be shortened?

Yes, a closed rhinoplasty can be used to remove the graft.

Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Can A Tip Graft Be Removed?

Yes, the tip graft can be removed.  I would remove it through an open approach which would allow me to accurately evaluate your tip modify it to make it look natural and aesthetically pleasing.  Removing the tip graft would shorten your nose.  

Jonathan Pontell, MD, FACS
Philadelphia Facial Plastic Surgeon
4.8 out of 5 stars 105 reviews

Revision rhinoplasty is an option for removing an unwanted tip graft.

If you're experiencing pointedness and dissatisfaction with your tip graft, it may be removed surgically. Your photos are limited for evaluation.

You may also consider consulting a facial plastic surgeon experienced with the delicate art of performing microdroplet Silikon-1000 injections. Silikon-1000 in an off-label permanent filler that may be used in some patients for minimizing tip imperfections following rhinoplasty surgery.

Hope this is helpful for you.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Tip grafts and shortening the nose

The diagrams of your surgery show that a double cartilage shield graft was placed through an open rhinoplasty. With the passage of time the skin envelope tends to shrink and the outline of the graft can become more visible. This can be improved by removing the graft through a closed rhinoplasty and replacing it with a more anatomically correct piece of cartilage. This procedure can shorten the tip while giving it a more natural feminine contour.

Geoffrey W. Tobias, MD, FACS
Englewood Facial Plastic Surgeon
4.5 out of 5 stars 51 reviews

Removing nasal tip graft

Hi. Changing your tip will require an open rhinoplasty, with removal or reshaping of the graft. This can be done to achieve a rounder, less projecting nose. Regards Dr Charles Cope

Charles Cope, MD
Sydney Plastic Surgeon
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.