Besides having a hump reduction. What would be the best option to refine the tip? Would it be cephalic disection and rotation? Or chartillage tip grafts?
Options with Regards to Tip Refinement? (photo)
Doctor Answers 4
Nasal tip refinement
A conservative amount of cartilage can be removed through cephalic resection of the tip. No rotation is necessary. A spreader graft may also be needed on the concave upper lateral cartilage area to make the mid-vault portion of the nose more symmetrical. Please see the link below for examples of how we have addressed the tip in our rhinoplasty practice
Rhinoplasty and tip
Tip grafts are often not necessary. Without a good exam in person and worm's eye view photos it is difficult to assess you properly.
Your tip is bulbous and ptotic (droopy). The tip needs to be narrowed, defined, and rotated up. This can be done using a columellar strut graft and dome sutures with a lateral crural steal.
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Tip definition should be improved whether this is achieved by changing the contour of you tip cartilages or adding a tip graft. An examination of your nose is necessary to make a specific recommendation. I would not increase tip rotation.