Hi, I’m a male patient who had a septorhinoplasty. My surgeon over-rotated my nasal tip to a noticeably upturned position. This wasn’t something I ever asked for or agreed to. He’s now offering to do an in-office tip release from the caudal septal extension graft (CSEG) at 3 months post-op. He says he will cut the suture, make a full transfixion incision, and fully release the tip — claiming it will “significantly drop” the rotation. When I asked if this was common, he told me he’s never done this before in over 1,500 rhinoplasties. That makes me nervous. Is this a safe or medically accepted technique? Have you seen this work to reverse tip over-rotation, especially in men? Or is surgery in the OR typically needed for this? I’d really appreciate honest input — I’m trying to avoid doing something unsafe out of desperation.
Answers (1)
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Hello and thank you for your question. It is possible to revise osteotomies if you feel that you have asymmetry at the bone base of the lateral nasal side wall. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.
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Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty. This can be designed to help improve nostril symmetry and correct alar retraction (ability to see inside nostrils). With good surgical technique, you could have an outstanding result....
It looks very much as though your nasal bones were not narrowed in the first operation. Those wide nasal bones are making the upper half of your nose look wide.
Then, if you're going to have a revision, I'd love for you to see some morphs of some changes to your profile. To my eye, the tip is...