Nose tip turns white when smiling (post-surgery), looks very unnatural?

Question

I've had 2 major rhinoplasties & 1 tip refinement op (3 in total). The 2 first surgeries were lengthening my nose, but they resulted in that my nose tip turned white whenever smiling. My last op was to fix this issue, & it improved a little bit but not 100%. My Q's are: 1) what are the risks associated with another tip refinement surgery? 2) would you recommend another surgery, or are the risks too big in comparison to the possible benefits? 3) is it better to use fillers to adjust this issue?

Eric M. Joseph, MD · Answer

If your tip appears white after multiple rhinoplasty surgeries, it could be from tip cartilage that has become visible with smiling. In some situations, this may be improved by microdroplet Silikon-1000 injections which may help by adding some volume between your tip cartilages and skin for camouflage. Hope this helps! Dr Joseph

Tanveer Janjua, MD · Answer

The tip revision is risky in creating a new problem when trying to fix the present problem. It is best to leave it alone. If you decide to proceed it is imperative to be conservative and not do anything radical. RegardsDr Janjua

Nose tip turns white when smiling (post-surgery), looks very unnatural?

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