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Can cartilage graft be removed to make tip of nose soft again? (photos)

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Nosejob222Mar 29, 2024

I hate that my surgeon to find my bulbous tip too much and now it's extremely hard and supported. Is there any way to go back from this?

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Apr 8, 2024
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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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Answered on Apr 4, 2024
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Richard G. Reish, MD, FACS

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...

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Richard G. Reish, MD, FACS

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...

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Richard G. Reish, MD, FACS

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...

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Gianfranco Frojo, MD

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...

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Richard G. Reish, MD, FACS

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...

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Richard G. Reish, MD, FACS

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...

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