Nose tip drop after primary rhinoplasty - is a revision or tip plasty required to get my desired result? (Photo)

Question

Background Info: 16 months post-op, Thick skin patient Photos attached are current photo, digital imaged photo provided by my surgeon at consultation and a before photo. My question is do I need a revision rhinoplasty to get the result my surgeon had initially proposed? My concern is the tip is droopier than I had wanted. Would a tip plasty be another option? Ideally I do not want to go through the same kind of extensive recovery process as the primary rhinoplasty.

Eric M. Joseph, MD · Answer

Based on your photos, we can see that you would like to have your tip protruding less from your face and lifted somewhat. The cartilaginous portion of your lower bridge may need to be lowered as well. Since you indeed have thick skin, a tip graft maybe necessary to support your tip and to provide tip definition as you desire. Please consult with several reputable rhinoplasty specialist before moving forward, and if you have a copy of your operative report and preoperative photos, that may be useful. Wishing you well. Sincerely, Dr Joseph

Thomas A. Mustoe, MD, FACS · Answer

Often the Tip can be modestly elevated with an office procedure with an internal incision along the distal septum and a combination of soft tissue removal , in some cases shortening the distal septum and sutures bringing the tip up. A formal tip rhinoplasty revision will allow are more significant shirtening

Steven M. Denenberg, MD · Answer

Unfortunately, a tip that's still too low is one of the more common complaints that revision rhinoplasty specialists see. The techniques for getting a tip up and keeping it up don't seem to be widely understood.

Actually, there's no difference between a revision tip plasty and a revision rhinoplasty. The recovery/swelling/bruising are almost identical. If you had a hard time with your recovery, perhaps it was the surgical technique used, perhaps it was just you. But when a surgeon performing a rhinoplasty or revision rhinoplasty, and he has some particular work to do on the tip (as in your case), the work on the tip is often 80 to 90 percent of the work of the entire operation!

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. It also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

John L. Burns Jr., MD · Answer

A secondary rhinoplasty is always more difficult.  It is best to wait at least 6 months and preferably one year before undergoing a revision.  I'd suggest several consults with experienced rhinoplasty surgeons before undergoing a revision.

William Portuese, MD · Answer

you have a fantastic looking nose, and it would be way too risky to try to raise your tip and  possibly ruin your results. The more you lift the tip up, the more your nose will look "Miss Piggy" from the front profile with too much nostril show. You also have a recessive chin profile,so consider a placement of a chin implant to augment your chin forward for a better facial balance and proportions, especially with respect to your nose.

Nose tip drop after primary rhinoplasty - is a revision or tip plasty required to get my desired result? (Photo)

Answers (5)

Answer: Secondary rhinoplasty

Answer: Secondary rhinoplasty

Answer: Nose tip drop after primary rhinoplasty

Answer: Nose tip drop after primary rhinoplasty

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Nose tip drop after primary rhinoplasty - is a revision or tip plasty required to get my desired result? (Photo)

Answers (5)

Answer: Secondary rhinoplasty

Answer: Secondary rhinoplasty

Answer: Nose tip drop after primary rhinoplasty

Answer: Nose tip drop after primary rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.