Nose is bulbous, undefined and too big. Would another revision rhino benefit me? (photo)

Question

I had a revision rhino 3 years ago and until this day my nose is bulbous, undefined, and bigger than I’d like. I have thick skin which is partly the problem, but I believe I also have scar tissue from the previous 2 surgeries preventing my tip from being defined. Would a tip plasty be a good option for me? or possibly a surgery to just remove scar tissue? Or is my nose going to be bulbous due to my thick skin?

Eric M. Joseph, MD · Answer

Without examining you, it is impossible to tell if your wide nasal tip is due to excess cartilage, or thick skin, or possibly scar tissue. I am not a fan of operating on somebody simply to remove scar tissue. It would be nothing to prevent it from returning, and results of rhinoplasty tend to be dictated by the underlying skeleton of the nose. Consider meeting with a reputable rhinoplasty specialist so you can see what to expect moving forward. Wishing you well. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Steven Schuster, MD, FACS · Answer

Dear Caring,
Without a little more history it is difficult to say what can be done.  Were your previous surgeries done open or close.  Did you have any cartilage grafts added to the tip.  Her any things such as a silicone graft added to the nose.  Overall the nose is very nicely in balance and the amount of bold this tip is relatively minor and really does feature nose very nicely.  If you did not have any surgeries done using of in technique that certainly might be in a approach that could help with the addition of a tip graft to accentuate the tip.  Certainly examination in person is a much better way to go and I would not make any definitive recommendations without evaluating you in person.  Certainly there are many good plastic surgeons in your area and if your concerned why not go on several consultations.
Wishing you good luck with your choices.
  Steven Schuster MD FACS
  Boca Raton Florida

Nose is bulbous, undefined and too big. Would another revision rhino benefit me? (photo)

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