Can you add skin to nasal tip? (Photo)

Question

I know this is a peculiar question but I had a peel and samples sent home with me (Dermalogica in Bologna, Italy) 9 months ago. For a while there was swelling and redness (nasal tip) and now it just looks smaller or "buffed". I see my bone and cartilage unaffected but the skin on the nasal tip is just not the same height and width. I'm hoping something like a skin graft would be possible to regain what was accidentally over-exfoliated in this freak incident. Thank you so much!!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I would definitely never recommend a skin graft for your nasal tip. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Oakley Smith, MD, FRCSC · Answer

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

Eric M. Joseph, MD · Answer

Based on your photo, you appear to have relatively thin nasal skin with a cleft in between your nasal tip cartilages, and a bulbous nasal tip appearance. If this is causing you dissatisfaction, please consider meeting with several reputable rhinoplasty specialists, since I believe that would be the only way to achieve a narrower and less distracting nasal tip appearance. Thank you for your question, and I hope this is helpful. Sincerely, Dr. Joseph

Gary M. Horndeski, MD · Answer

You cannot add skin to the external nose.  It would look very unattractive.  It appears you would benefit from a tip rhinoplasty to reshape the tip of the nose and make it look more attractive.

Best Wishes,

Gary Horndeski, M.D.

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