Tongue in groove vs. columellar strut graft for tip rotation and support?

After rhinoplasty, particularly with solid cartilage grafts, it is not uncommon for the skin to lose subdermal fat and the swelling to go down, a phenomenon known as "cartilage show." To prevent this, you can either use a temporary fascia covering or use diced cartilage to enhance the appearance...

Sadly, dissatisfaction with primary rhinoplasty is not an unusual phenomenon.... in my revision rhinoplasty practice, I commonly use both autologous and cadaveric rib cartilage.... autologous is cheaper, plentiful and of course the patient’s own.... the disadvantages are the donor site d...

Hi there! We would recommend looking for the best Board Certified Plastic Surgeon, such as Dr. Peter Newen, and scheduling a consultation to discuss the best treatment plan for you! Here at The Image Center we offer virtual and in-person consultations. Located in sunny Southern California our...

Hello, Thanks for your photos and question.Yes, even if the tip of the nose has become very flat , it is possible to remake the nose wider and normal with a revision surgery. This is a very simple procedure.You need to have a detailed examination and face analyse to get customised treatment...

Hi @Nycdoll25! Thank you for sharing your photos. I recommend seeing a revision rhinoplasty specialist for in person examination. There are options for you that can be determined after examination. Best of luck, Dr. Nima!

I would personally advise you against filler injections as they are temporary and you will need a relatively larger volume to cover those edges. Consider fat grafting as an alternative or more appropriately in my opinion a simple revision to augment the dorsum with fascia or small fractionated...