Nasal Tip Too Bulky and Wide After Graft

It may not be possible to simply remove the graft without consequence. The graft may need to be replaced with one that has a similar function, and more knowledge of your surgery would be necessary to provide you with advice. The following questions would need to be addressed prior to having a revision procedure:

1) What was the initial purpose of your tip graft?
2) Is it possible to replace it with a smaller graft that will leave your nose appearing less wide?

I would recommend communicating with your surgeon and discussing options with him or her. I hope this helps, and I wish you the best of luck.

The result of removing a graft is not always as simple as simply returning to its prior form.  Scar tissue could have formed in the interim that will prevent the tip from simply "shrinking" back down.  That being said, in most cases there will still be ways to reduce the size of the tip and improve the aesthetics of the nose during revision rhinoplasty.  

Thank you for the question. In most cases, tip grafts are placed to control the projection, rotation, and shape of the nasal tip. Removing the tip graft will therefore affect all of these things. A revision rhinoplasty may be needed to reduced the size of the graft or replace it with a graft of a different shape or size.

Dear Jessica44,


It depends on what kind of graft was placed

It may be best to either removed it entirely, or remove it, trim/replace the graft for a nice looking nose

When you are ready, please see a rhinoplasty expert who can go over all of your concerns


Best regards,

Nima Shemirani

Dear Jessica,

Thank you for your question.

This depends on what was done in addition to the tip graft. If the alar cartilages were altered in any way, then simply taking out the graft will not give you the result you had to begin with.  The alar cartilages need to be re-adjusted.  On the other hand, simply contouring the tip graft may be the way to go if it is just too wide. Difficult to give you specific advise without photos.

Best Wishes,

Pablo Prichard, MD