is it possible to build my bridge higher and de-rotate the tip downward? (Photos)

Question

i got a rhinoplasty and i use to have a very ethnic droopy nose . I deeply miss it now, it feels like a part of me died . Now i have a short barbie nose that doesn’t suit my face features at all .. is there any hope like at all? I dont need the bump i just want a higher bridge and slightly downward tip nose again

Andrew Miller, MD · Answer

Based on your photos, you can certainly make an improvement. The bridge can definitely be raised, and the tip can be brought down some. It probably won't be as far down as it was before, but you should be able to get rid of that Barbie look. Be sure to see a rhinoplasty expert for consultation.

Mark Beaty, MD · Answer

It’s completely understandable to feel this way. Many patients want to refine their nose while still preserving the features that feel connected to their identity and heritage, and the emotional adjustment after rhinoplasty can be challenging.

From a surgical standpoint, there are options. Restoring height to the bridge and adjusting tip rotation with cartilage grafting can be possible in revision surgery. However, it’s important to give your nose enough time to fully heal and settle before making any final decisions. In most cases, revision rhinoplasty isn’t considered until at least a year after the initial surgery. Allowing your results to mature will give you a clearer idea of what can be improved.

Steven M. Denenberg, MD · Answer

In the photos, you seem to have tape on your nose. Depending on exactly how the surgery was done, it's extremely common for the tip to drop in the weeks and months after surgery. Also, even if the tip stays too high, it's important to wait about a year after one operation before attempting another, because the scar tissue that naturally forms after any operation, in any part of the body, start out being firm and then it shrinks and softens, and if the scar tissue is firm it can greatly hamper the revision. But waiting very well might allow the tip to drop some. Even if it doesn't drop *all the way* to where you want it, it might get close enough that you think the risk of another operation wouldn't be worth it to get just another one or two millimeters of additional length to the nose. This make any sense? Also, if the tape is being placed to hold the tip up, stop taping.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, it is possible to perform top derotation. A surgeon can accomplish this by fully releasing scar tissue followed by placement of extended spreader grafts. 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

is it possible to build my bridge higher and de-rotate the tip downward? (Photos)

Answers (4)

More Revision Rhinoplasty Questions

Am I the only one who can’t get a smaller more refined nose? (Photos)

Breathing and aesthetic issues after second rhinoplasty in 2019. Do I need a 3rd revision? (Photos)

Dislike my nostrils over primary rhinoplasty - could this be fixed without a full revision? (Photos)

Right nostril not symmetrical following Rhinoplasty (15 years post op), how can I fix it? (Photos)

Considering a Second Revision for Ongoing Tip and Alignment Problems - what further options are available? (Photos)

Columnella retraction and slightly droopy tip after rhinoplasty - will I need a revision? (Photos)

WE SEND PRETTY
EMAILS