I had a closed rhinoplasty about 23 years ago. I am 46 now. Through time the right tip has moved with gravity I assume. Because it was very symmetrical up until about 10 years ago and I slowly noticed changes. I love the rest of it. It’s not perfect but I’m ok with that. I just would like that one area reduced if that’s even possible. It’s definitely cartilage as I can move it and it’s quite pointy from certain angles, sure to get more prominent with aging.
Answer: NO- I Recommend Revision Rhinoplasty | Facial Plastic Surgery Expert | Nose Job | Tip Nostril Asymmetry | Rib | Beverly Hills Hello and thank you for your question and the pictures. Unfortunately no, you actually have a VERY difficult problem to fix. Your tip asymmetry after a prior rhinoplasty is due to contractile scarring forces, which can unfortunately distort rhinoplasty results over time as the underlying tissues heal and shrink, altering the shape of the nose. There are certain maneuvers which can be performed during rhinoplasty surgery to prevent such retraction and distortion- I actually perform these preventative maneuvers in all my rhinoplasty surgeries for this very reason. Because of the extensive scar tissue present, you would need a "full" revision rhinoplasty (instead of just working on the tip) to properly correct your issue and to solidly reinforce the entire underlying framework to assure you get the BEST long term results. Anyone who tells you otherwise is doing you a HUGE disservice! Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually). I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps! Dr. Donald Groves Aesthetic Plastic Surgeon
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Answer: NO- I Recommend Revision Rhinoplasty | Facial Plastic Surgery Expert | Nose Job | Tip Nostril Asymmetry | Rib | Beverly Hills Hello and thank you for your question and the pictures. Unfortunately no, you actually have a VERY difficult problem to fix. Your tip asymmetry after a prior rhinoplasty is due to contractile scarring forces, which can unfortunately distort rhinoplasty results over time as the underlying tissues heal and shrink, altering the shape of the nose. There are certain maneuvers which can be performed during rhinoplasty surgery to prevent such retraction and distortion- I actually perform these preventative maneuvers in all my rhinoplasty surgeries for this very reason. Because of the extensive scar tissue present, you would need a "full" revision rhinoplasty (instead of just working on the tip) to properly correct your issue and to solidly reinforce the entire underlying framework to assure you get the BEST long term results. Anyone who tells you otherwise is doing you a HUGE disservice! Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually). I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps! Dr. Donald Groves Aesthetic Plastic Surgeon
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September 30, 2024
Answer: Revision rhinoplasty... You can certainly just do a revision rhinoplasty that addresses and tries to even out the nasal tip. Be sure to see a rhinoplasty expert for consultation.
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September 30, 2024
Answer: Revision rhinoplasty... You can certainly just do a revision rhinoplasty that addresses and tries to even out the nasal tip. Be sure to see a rhinoplasty expert for consultation.
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September 16, 2024
Answer: Revision rhinoplasty Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. It can be fix with revision tip-plasty to correct asymmetry and the droopiness.
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September 16, 2024
Answer: Revision rhinoplasty Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. It can be fix with revision tip-plasty to correct asymmetry and the droopiness.
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September 14, 2024
Answer: Tip Rhinoplasty You're right—the nose can change with time, and it’s not uncommon to notice subtle shifts years after a rhinoplasty, especially after being happy with the results for so long. Based on your photos, you have thinner skin, which can make these changes more visible. A tip rhinoplasty would help address the hanging columella (particularly noticeable when you smile) and the tip asymmetry. Given your thinner skin, there’s less room for error, so an open approach may be the best option to allow for direct visualization and precise reshaping of the cartilage. Dr. B.
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September 14, 2024
Answer: Tip Rhinoplasty You're right—the nose can change with time, and it’s not uncommon to notice subtle shifts years after a rhinoplasty, especially after being happy with the results for so long. Based on your photos, you have thinner skin, which can make these changes more visible. A tip rhinoplasty would help address the hanging columella (particularly noticeable when you smile) and the tip asymmetry. Given your thinner skin, there’s less room for error, so an open approach may be the best option to allow for direct visualization and precise reshaping of the cartilage. Dr. B.
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September 14, 2024
Answer: Would you consider a permanent non-surgical nose job? Based on your photos, you appear to have very thin nasal skin which is associated with the shrink wrap phenomenon. This is when the skin retracts down onto underlying cartilages and there can be an asymmetrical and pinched nasal tip appearance. In our experience, microdroplet Silikon-1000 injections may be helpful for achieving a less operated nasal tip appearance by restoring lost nasal tip volume. Thank you for this question. Sincerely, Dr Joseph
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September 14, 2024
Answer: Would you consider a permanent non-surgical nose job? Based on your photos, you appear to have very thin nasal skin which is associated with the shrink wrap phenomenon. This is when the skin retracts down onto underlying cartilages and there can be an asymmetrical and pinched nasal tip appearance. In our experience, microdroplet Silikon-1000 injections may be helpful for achieving a less operated nasal tip appearance by restoring lost nasal tip volume. Thank you for this question. Sincerely, Dr Joseph
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