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Hello and thank you for your question. If you feel that tip is too stiff and over-projected, then a revision with nasal tip deprojection and mastoid fascia tip graft may be helpful. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
I am sorry that you were unhappy with your rhinoplasty result. When people need strong cartilage graft to achieve a narrower nasal appearance, if you remove them, there may be loss of tip support, and lead to a worse cosmetic appearance. If your surgery was performed less than eight months ago, you make take time to get used to your new nasal appearance. I hope this is helpful and I wish you well moving forward. Sincerely, Dr. Joseph
Hello and thank you for your question. Based on your photographs, you may benefit from a a nasal tip deprojection and tip elevation. To support your tip. Your breathing can also likely be improved at this time also. I recommend that you seek consultation with a qualified board-certified...
Hello and thank you for your question. During revisions when there is adequate septal Cartilage intact, I always prefer to use that for all cartilage grafts. Where there is no septal Cartlidge intact, then I will use MTF cartilage for revisions. I recommend that you seek consultation with a...
Hello and thank you for your question. Based on your photographs, you may benefit from a revision with a formal tip deprojection. Although osteotomies are not part of the actual tip deprojection process, you will definitely require osteotomies because the dorsum will need to be taken down in...
It appears that you have a residual open roof deformity. After reviewing the operative note, this is a very frequent potential issue that occurs when the hump is reduced with an osteotome as described. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with...
Hello and thank you for your question. It difficult to tell just based on the photos. At eight months post-op, you are still swollen. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by...
Hello and thank you for your question. It really depends on exactly what you need done, but ear cartilage does not work well, and I never use it as it lacks structural stability. If you don’t have septal cartilage available for grafting then I always use MTF Cartilage for revisions. I r...