I need Tertiary Revision Rhinoplasty to lengthen an upturned, short nose so I can look natural & normal! Can it be done? (photo)

Tertiary revision rhinoplasty is frequently about restoring shape, strength and function to the nose. We use strong grafts. The source really depends on a personal examination. For extreme lengthening and restoring a "removed" tip, you will likely require rib cartilage grafts. These can look natural and create a stronger more natural appearing nose.

Hello and thank you for your question. Based on your photographs, this is very fixable.  It is possible to perform a columellar strut graft with either septal/ear cartilage or rib cartilage.  The most important aspect is to find a surgeon you are comfortable with. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon

Revision rhinoplasty brings with it some of the most complex issues in cosmetic plastic surgery. The nose, being in the middle of the face, is certainly a focal point, and a one-millimeter change can make the difference between a good result and a great result. My best advice is to do your research fully. Find a board certified plastic surgeon who specializes in revision rhinoplasty and has years of experience. Read his/her reviews, look at before-and-afters, and ask many questions.

Dear Lipez88,thanks for sharing your pictures. Technically is doable to over rotate your nose, but I think by reducing the slope by means of a cartilage graft ( initially normal saline for demo purposes) may only thing to be needed !!best wishesj Tahery Otolaryngologist / Facial plastic surgeon chesterUK