Can Interdonal Ligaments be “recreated” by having fascia sewn between both nasal domes?

Question

I wanted to know if it is possible to unsuture my current nose cartilages that have been placed onto my septum,and have them released and repositioned in the regular cephalic way in which a nose naturally is positioned, but be held together by fascia acting as a form of interdomal ligament. I understand that I need extended spreader grafts to elongate my nose and reposition my tip downward like it was before, but can that be done to hold everything together. I want my nose to droop when I smile

George Bitar, MD · Answer

It is difficult to give you advice without photographs and discussing the aesthetic goals for your nose.  There are multiple techniques to reposition tip and elongate the nose.  Each surgeon has their own method on what gives them reproducible, long-lasting results.  I would recommend consultation with a board certified plastic surgeon with experience in rhinoplasty to discuss your concerns.

Can Interdonal Ligaments be “recreated” by having fascia sewn between both nasal domes?

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