Options with Regards to Tip Refinement? (photo)

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?

Doctor Answers 4

Nasal tip refinement

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  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

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

Rhinoplasty and tip

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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.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Tip refinement

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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.

Andres Bustillo, MD, FACS
Miami Facial Plastic Surgeon
4.9 out of 5 stars 121 reviews

Tip Refinement

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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. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.