Hi Doctors I've had 2 rhinoplasties (2017 & 2019) and I regret the second one. After the first, I liked the front view of my face, but there was a slight curve. I thought a second could fix it, but it resulted in a more bulbous tip. I feel like the tip volume doesn't look right with my face. Can I get a tip rhinoplasty only? I don't want major changes as it has affected my self-confidence. The tip is the biggest concern for me, and I just want to slim it out without drastically altering my nose.
November 30, 2023
Answer: Tip revision rhinoplasty Hello. Yes it is possible to address the tip only. Every (good) rhinoplasty is very specific to the person's desires, nasal anatomy, and the facial aesthetics. Issues occur when noses are treated with the same "generic" techniques across the board. From the pictures it looks like the main issue is the tip cartialge orientation, specifically that they are cephalically mispositioned and bowed down below the tip. I see these in revision cases very frequently and they are often due to over resection of the "lateral crus" of the tip cartilages, and inadequate support overall. In many of these the approach is to change the shape and orientation of these cartilages, while also adding adequate support. Rhinoplasty isn't about majors changes or drastic changes, but rather about the right changes. It's sometimes a hard concept to explain without morphing images and showing how those changes have to occur to get that ideal result. Go to several consultations with surgeons that truly specialize in rhinoplasty. Have them explain and show what changes they propose and how they plan to accomplish them. Of course it would be hard for you to know what the right answers are, but you can at least compare their answers and decide which make the most sense. That's the best advice that I have found for patients short of learning how to perform rhinoplasty and judging your surgeons answers. Also get a feel for whether or not the surgeons are genuinely interested in getting you the best results. I hope this helps, good luck!
Helpful 1 person found this helpful
November 30, 2023
Answer: Tip revision rhinoplasty Hello. Yes it is possible to address the tip only. Every (good) rhinoplasty is very specific to the person's desires, nasal anatomy, and the facial aesthetics. Issues occur when noses are treated with the same "generic" techniques across the board. From the pictures it looks like the main issue is the tip cartialge orientation, specifically that they are cephalically mispositioned and bowed down below the tip. I see these in revision cases very frequently and they are often due to over resection of the "lateral crus" of the tip cartilages, and inadequate support overall. In many of these the approach is to change the shape and orientation of these cartilages, while also adding adequate support. Rhinoplasty isn't about majors changes or drastic changes, but rather about the right changes. It's sometimes a hard concept to explain without morphing images and showing how those changes have to occur to get that ideal result. Go to several consultations with surgeons that truly specialize in rhinoplasty. Have them explain and show what changes they propose and how they plan to accomplish them. Of course it would be hard for you to know what the right answers are, but you can at least compare their answers and decide which make the most sense. That's the best advice that I have found for patients short of learning how to perform rhinoplasty and judging your surgeons answers. Also get a feel for whether or not the surgeons are genuinely interested in getting you the best results. I hope this helps, good luck!
Helpful 1 person found this helpful
