Is tip plasty worth it for me? (Photo)

Digital images are not a replacement for an examination, however we have met patients with thick skin and wide nasal tips after rhinoplasty that is completely due to the overlying skin, not the underlying cartilage. An examination by a rhinoplasty specilalist may be helpful for determining what is causing your persistent tip wideness after three rhinoplasties.Hope this helps you.Dr Joseph

It is very difficult if not impossible in some cases to achieve a very well-defined thin nose if the skin is thick to begin with.If work has been done on the nasal tip in the past and all 3 occasions them the risks of a fourth surgery on the nasal tip is high.  She have to take that into consideration before she go for a fourth rhinoplasty on the nasal tip.In your consultation you should specifically ask your surgeon if he or she has had similar patients in the past and if the results were good or not.  That will help to make her decision about proceeding with a tip plasty or leaving it alone.RegardsDr. J

A revision can be done for the tip. However because this would be a fourth revision, it is important to review the details of the past surgeries in order to figure out the best course of action. The cost will vary depending on what needs to be done.

Your nose is a little bulbous on front view. That being said,  the more times you operate on the nose the less the skin can stretch and the more chance that you will see edges of cartilage below the skin. I don't know how well you are breathing but a smaller nose can decrease your ability to breath as well. I would personally avoid synthetic/plastic material in the nose, especially after 3 surgeries, as it tends to show through the skin as you age and has the potential to become infected as long as it is in the nose. You are very pretty and the enemy of good is perfect. Hope you make a good decision.

it depends on:1. what was done/not done during your previous surgeries2. how much of your tip aesthetics are secondary to cartilage issues3. whether your surgery was done open or closed and how much scarring/support your nasal tip hasonce you have gotten up the confidence, an exam with a qualified surgeon ought to shed light on these issues and help you decide whether or not this is worthwhilegood luck