My surgeon wants to wait 6 months to do a revision surgery where the cartilage would be shaved down... with all my online research I have not come across shaving down the cartilage as a way to fix this problem as this weakens the cartilage. I’ve read that instead a suture should be placed to bring the dome back together or a graft could be used to camouflage the bossae.. Should I be concerned? I have textbook bossa of the tip where cartilage is poking on one side significantly..
Answer: Correction of nasal tip bossa You are correct in that often the preferred way to correct tip boss is to bring the two intermediate crura comprising the dome back together or using a graft to camouflage the bossae. That being said there are other ways to correct it such as how your surgeon suggested as other situations can cause the tips to be asymmetrically narrowed so I would ask your surgeon to explain it to you better perhaps with a picture to demonstrate what he/she wants to do. Good luck with your surgery.
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Answer: Correction of nasal tip bossa You are correct in that often the preferred way to correct tip boss is to bring the two intermediate crura comprising the dome back together or using a graft to camouflage the bossae. That being said there are other ways to correct it such as how your surgeon suggested as other situations can cause the tips to be asymmetrically narrowed so I would ask your surgeon to explain it to you better perhaps with a picture to demonstrate what he/she wants to do. Good luck with your surgery.
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February 14, 2019
Answer: Revision rhinoplasty to correct boss’s of tip: shave cartilage? Without pictures it is difficult to advise and actually even an examination may not give the full answer. You are correct that the tip cartilages have to be of adequate thickness and strength to support the nose, but many times selective shaving/and or scoring or suturing can correct boss’s. Sometimes bringing the cartilages together is the right thing to do and sometimes combining scoring or weakening with an underlay cartilage graft is the best approach. Reopening the nose and evaluating the tip cartilages at the time of surgery will determine the best approach.
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February 14, 2019
Answer: Revision rhinoplasty to correct boss’s of tip: shave cartilage? Without pictures it is difficult to advise and actually even an examination may not give the full answer. You are correct that the tip cartilages have to be of adequate thickness and strength to support the nose, but many times selective shaving/and or scoring or suturing can correct boss’s. Sometimes bringing the cartilages together is the right thing to do and sometimes combining scoring or weakening with an underlay cartilage graft is the best approach. Reopening the nose and evaluating the tip cartilages at the time of surgery will determine the best approach.
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February 14, 2019
Answer: Well, it's true that shaving bossae doesn't really address the problem ... But you didn't post any photos, and that makes it hard to give good advice. But yes, bossae usually result from too-tightly-curved tip prominences that have migrated away from each other. Often, there are associated problems, like a nose that is still too projecting, or too long. Revision rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon, and how to tell whether your first surgeon should be performing your revision.
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February 14, 2019
Answer: Well, it's true that shaving bossae doesn't really address the problem ... But you didn't post any photos, and that makes it hard to give good advice. But yes, bossae usually result from too-tightly-curved tip prominences that have migrated away from each other. Often, there are associated problems, like a nose that is still too projecting, or too long. Revision rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon, and how to tell whether your first surgeon should be performing your revision.
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February 14, 2019
Answer: Shaving tip cartilage The answer to your question really requires knowing exactly where and how much cartilage your surgeon is considering removing (or shaving). As long as enough cartilage support is maintained and the area to be shaved is fairly tiny this shouldn't be a major concern, but you may want to get a couple more opinions from surgeons experienced in revision rhinoplasty first. As is often the case in rhinoplasty, there may be more than one way to safely achieve the look you desire.All the best,--DCPPearson Facial Plastic Surgery®
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February 14, 2019
Answer: Shaving tip cartilage The answer to your question really requires knowing exactly where and how much cartilage your surgeon is considering removing (or shaving). As long as enough cartilage support is maintained and the area to be shaved is fairly tiny this shouldn't be a major concern, but you may want to get a couple more opinions from surgeons experienced in revision rhinoplasty first. As is often the case in rhinoplasty, there may be more than one way to safely achieve the look you desire.All the best,--DCPPearson Facial Plastic Surgery®
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February 14, 2019
Answer: Revision rhinoplasty to correct bossa of tip, surgeon wants to shave down the cartilage. Should I be concerned? Without pre-op and post-op photos- all views, reading the op-report, and of course the benefit of in person exam- it's difficult to give the best answer. Revision Rhinoplasty is very challenging and specific type of procedure requiring clear vision of the result and ability to achieve it.If you are seeking a second opinion - I suggest that you see an experienced Board Certified PS with extensive Rhinoplasty experience for evaluation .
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February 14, 2019
Answer: Revision rhinoplasty to correct bossa of tip, surgeon wants to shave down the cartilage. Should I be concerned? Without pre-op and post-op photos- all views, reading the op-report, and of course the benefit of in person exam- it's difficult to give the best answer. Revision Rhinoplasty is very challenging and specific type of procedure requiring clear vision of the result and ability to achieve it.If you are seeking a second opinion - I suggest that you see an experienced Board Certified PS with extensive Rhinoplasty experience for evaluation .
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