2 months ago, I had surgery to heighten my bridge and refine the tip but, it looks the same. I have some definition at my bridge, but only slightly suggested and my tip is still round. My nostrils are uneven because (I think) the tip of my nose is crooked! You can kind of tell at certain angles. I know I should wait a year, but how will the procedure be like. Do I have to undergo open surgery? Because I prefer closed. The picture on top is my normal nose and the bottom is my nose when I smile.
August 30, 2010
Answer: Revision Rhinoplasty for Round Tip on Asian Nose
One of the important aspects of your end results is how was the tip enhanced. The use of a cartilage graft or a silicone implant with or without alteration of the lower lateral cartilages or alar cartilages will ultimately determine the changes in your appearance as the swelling subsides and the skin re drapes over the underlying framework. It is common to use a silicone implant to enhance the tip in Korea. Although it can give a quick result, there are some potential issues related to the material with time. It is very important that you wait as your nose will continue to change for more than the recommended one year. Many people prefer the closed technique for the lack of a visible scar. But in my opinion, the most precise way of altering the tip is by an open approach. It is similar to working on the engine of a car with the hood up and out of the way vs. the limited view of the same area with a chain preventing the hood from lifting more than a foot. Techniques involving the placement of sutures between and within the lower lateral cartilages are very powerful way of improving the tip. The best thing to do at this point is wait as you are currently at the start of your experience. I can see the improvement. Your nose is "crooked" before the surgery and smiling in the photo does make it harder to compare.
Helpful
August 30, 2010
Answer: Revision Rhinoplasty for Round Tip on Asian Nose
One of the important aspects of your end results is how was the tip enhanced. The use of a cartilage graft or a silicone implant with or without alteration of the lower lateral cartilages or alar cartilages will ultimately determine the changes in your appearance as the swelling subsides and the skin re drapes over the underlying framework. It is common to use a silicone implant to enhance the tip in Korea. Although it can give a quick result, there are some potential issues related to the material with time. It is very important that you wait as your nose will continue to change for more than the recommended one year. Many people prefer the closed technique for the lack of a visible scar. But in my opinion, the most precise way of altering the tip is by an open approach. It is similar to working on the engine of a car with the hood up and out of the way vs. the limited view of the same area with a chain preventing the hood from lifting more than a foot. Techniques involving the placement of sutures between and within the lower lateral cartilages are very powerful way of improving the tip. The best thing to do at this point is wait as you are currently at the start of your experience. I can see the improvement. Your nose is "crooked" before the surgery and smiling in the photo does make it harder to compare.
Helpful
September 8, 2010
Answer: Asian rhinoplasty revision
it is important to wait at least 6 months to truly evaluate your results, however having extensive experience with nasal surgery and asian noses I doubt (looking at your photos) if you are going to have the well demarcated tip definition you desire. In order to achieve this in the typical asian nose, you need to do aggressive cartilage grafting to the nasal tip and possible nasal dorsal implant work. The stantard westernized approach to rhinoplasty which usually involves removing excess tissue tends to weaken support for asian noses and works against promoting definition
Helpful
September 8, 2010
Answer: Asian rhinoplasty revision
it is important to wait at least 6 months to truly evaluate your results, however having extensive experience with nasal surgery and asian noses I doubt (looking at your photos) if you are going to have the well demarcated tip definition you desire. In order to achieve this in the typical asian nose, you need to do aggressive cartilage grafting to the nasal tip and possible nasal dorsal implant work. The stantard westernized approach to rhinoplasty which usually involves removing excess tissue tends to weaken support for asian noses and works against promoting definition
Helpful