Since about 6 months post op (I am currently 13 months out from surgery), my nose tip is lumpy and one side appears to be a white circle, the other side is a bossae. I saw my plastic surgeon and he suggested shaving down the bossae, but it would cost me an additional $1000, he refused to address the other side of my nose tip. Can you please explain what this round lumpy side is? I am so disappointed and feel that my nose looks botched.
Answer: Revising the tip... Based on your photos, your tip does need some revision. The price of $1000 is quite reasonable because surgical supplies are needed and possibly anesthesia. You would need to have confidence in your surgeon, however. If it's not working out, see at least two rhinoplasty specialists for consultation to see what should be done, but usually the nose should be opened and the cartilage reconstructed in the area of the bossae.
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Answer: Revising the tip... Based on your photos, your tip does need some revision. The price of $1000 is quite reasonable because surgical supplies are needed and possibly anesthesia. You would need to have confidence in your surgeon, however. If it's not working out, see at least two rhinoplasty specialists for consultation to see what should be done, but usually the nose should be opened and the cartilage reconstructed in the area of the bossae.
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March 14, 2024
Answer: Lump That is likely the cartilage grafts or the lower lateral cartilages. We do a lot of tip suturing in those cartilages and usually add a septal extension graft of columellar strut (sometimes even a tip cap graft) to increase nasal tip projection. I would have a very serious conversation with your surgeon. If things do not go well or you wish to see another surgeon....I would recommend a surgeon board-certified by the American Board of Plastic Surgery. Ideally, one with extensive rhinoplasty experience.
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March 14, 2024
Answer: Lump That is likely the cartilage grafts or the lower lateral cartilages. We do a lot of tip suturing in those cartilages and usually add a septal extension graft of columellar strut (sometimes even a tip cap graft) to increase nasal tip projection. I would have a very serious conversation with your surgeon. If things do not go well or you wish to see another surgeon....I would recommend a surgeon board-certified by the American Board of Plastic Surgery. Ideally, one with extensive rhinoplasty experience.
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March 12, 2024
Answer: Bossae are visible nasal tip cartilage as seen through thin nasal skin. Based on your photos you appear to have relatively thin nasal skin and thin nasal skin is associated with visible tip cartilages after rhinoplasty, unfortunately. I would not recommend having the bossa shaved down. Based on our 25-year experience, it may be best to have a revision tip plasty to avoid sequela like this in the future. The other option, depending on your examination, maybe a permanent non-surgical nose job with microdroplet Silikon-1000. Sometimes adding pinpoint volume to somebody's asymmetrical nasal tip may lead to a more symmetrical and less operated nasal appearance without the expense or inconvenience of revision rhinoplasty surgery. I hope this helps! Sincerely, Dr Joseph
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March 12, 2024
Answer: Bossae are visible nasal tip cartilage as seen through thin nasal skin. Based on your photos you appear to have relatively thin nasal skin and thin nasal skin is associated with visible tip cartilages after rhinoplasty, unfortunately. I would not recommend having the bossa shaved down. Based on our 25-year experience, it may be best to have a revision tip plasty to avoid sequela like this in the future. The other option, depending on your examination, maybe a permanent non-surgical nose job with microdroplet Silikon-1000. Sometimes adding pinpoint volume to somebody's asymmetrical nasal tip may lead to a more symmetrical and less operated nasal appearance without the expense or inconvenience of revision rhinoplasty surgery. I hope this helps! Sincerely, Dr Joseph
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March 12, 2024
Answer: Rhinoplasty You have a prominent piece of your tip cartilage or possibly a cartilage graft. A minor revision would correct this. Otherwise your nose looks good. As far as cost every surgeon is different in what they may charge. Some charge nothing but many charge a lot more than $1000.
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March 12, 2024
Answer: Rhinoplasty You have a prominent piece of your tip cartilage or possibly a cartilage graft. A minor revision would correct this. Otherwise your nose looks good. As far as cost every surgeon is different in what they may charge. Some charge nothing but many charge a lot more than $1000.
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March 12, 2024
Answer: Rhinoplasty outcome To make an accurate assessment regarding the outcome of any plastic surgery procedure we generally always need to see a complete set of proper before and after pictures.
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March 12, 2024
Answer: Rhinoplasty outcome To make an accurate assessment regarding the outcome of any plastic surgery procedure we generally always need to see a complete set of proper before and after pictures.
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