I had primary Rhinoplasty 1 year ago and I regret it. Before the Rhinoplasty, I had stronger and symmetrical nose and I was very satisfied with my face. After operation, my nose is more feminine in profile, but tip is little bit upturned and I don't like it. The result is not bad and drastic. I think my old nose was better balanced and I would like to consider revision and rotate my tip down. Also, I am very sceptical about adding cartilage because I have heard cartilage can warp with time. Any suggestions? Thanks.
Answer: A picture is worth a thousand words Dear Zoya, If you post a picture, we'd all be able to give you better suggestions. Rotating the tip down is not easy, and in my hands, unpredictable. Unless you're severely over-rotated, gravity will slowly work in your favor. If the appearance of your profile is too feminine, sometimes it's because the bridge is a bit low. Raising the bridge can be done effectively with permanent injectable fillers in the office. I hope this is helpful, and best regards.
Helpful 3 people found this helpful
Answer: A picture is worth a thousand words Dear Zoya, If you post a picture, we'd all be able to give you better suggestions. Rotating the tip down is not easy, and in my hands, unpredictable. Unless you're severely over-rotated, gravity will slowly work in your favor. If the appearance of your profile is too feminine, sometimes it's because the bridge is a bit low. Raising the bridge can be done effectively with permanent injectable fillers in the office. I hope this is helpful, and best regards.
Helpful 3 people found this helpful
Answer: How to fix an upturned nose.
There are a few techniques available to reverse an overly rotated nasal tip. Since cartilage was likely removed to rotate the tip during the first surgery, this cartilage will likely need to be replaced during the revision surgery. The best cartilage is whatever septal cartilage remains. Ear cartilage is a distant second best. There are methods of altering the position of the remain tip cartilage to de rotate the nose but these are not as powerful and likely won't be enough.
Helpful 1 person found this helpful
Answer: How to fix an upturned nose.
There are a few techniques available to reverse an overly rotated nasal tip. Since cartilage was likely removed to rotate the tip during the first surgery, this cartilage will likely need to be replaced during the revision surgery. The best cartilage is whatever septal cartilage remains. Ear cartilage is a distant second best. There are methods of altering the position of the remain tip cartilage to de rotate the nose but these are not as powerful and likely won't be enough.
Helpful 1 person found this helpful
January 7, 2015
Answer: Correcting the upturned nose
Revision rhinoplasty surgery requires significant experience and talent on the part of your surgeon. It is not uncommon in the patient with an apparent upturned nose to have some other postoperative imbalances that need to be corrected. Only a highly qualified Rhinoplasty surgeon can make that assessment and give you a correct recommendation.
As to the actual technique, there are a few, depending on how many nasal surgeries you had, the amount and quality of autologous cartilage, etc. Typically some form of tip graft is required, in addition dorsal lengthening technique might need to be used, assessment and correction of nasal spine, etc. The most important thing is that your surgeon has a clear idea as to what is causing your apparent upturn nose and having a clear cut surgical plan and the ability to execute that surgical plan.
Helpful 2 people found this helpful
January 7, 2015
Answer: Correcting the upturned nose
Revision rhinoplasty surgery requires significant experience and talent on the part of your surgeon. It is not uncommon in the patient with an apparent upturned nose to have some other postoperative imbalances that need to be corrected. Only a highly qualified Rhinoplasty surgeon can make that assessment and give you a correct recommendation.
As to the actual technique, there are a few, depending on how many nasal surgeries you had, the amount and quality of autologous cartilage, etc. Typically some form of tip graft is required, in addition dorsal lengthening technique might need to be used, assessment and correction of nasal spine, etc. The most important thing is that your surgeon has a clear idea as to what is causing your apparent upturn nose and having a clear cut surgical plan and the ability to execute that surgical plan.
Helpful 2 people found this helpful
January 7, 2015
Answer: You need to see a revision rhinoplasty specialist. Lengthening a short nose requires more expertise and experience than removing a bump from the nose. Grafts of cartilage and skin are usually required and come from the septum or ear. See good before and after pictures and talk to a patient that has had this done by the doctor. My patients who have had this done as well as other experienced surgeons don't mind doing this.
Helpful 2 people found this helpful
January 7, 2015
Answer: You need to see a revision rhinoplasty specialist. Lengthening a short nose requires more expertise and experience than removing a bump from the nose. Grafts of cartilage and skin are usually required and come from the septum or ear. See good before and after pictures and talk to a patient that has had this done by the doctor. My patients who have had this done as well as other experienced surgeons don't mind doing this.
Helpful 2 people found this helpful
January 7, 2015
Answer: Cartilage graft to fix rotation of nose tip Hi Zoya, The upturned tip can be corrected with cartilage grafts from the septum or the ear. Generally, your surgeon will find other things that can be improved during your revision. If indeed the only necessary alteration is to decrease the tip rotation, I would recommend giving the first chance to your original surgeon. He/she is very familiar with hs/her own surgical style, and may be able to easily correct such a small deformity with a touch-up procedure. Good luck.
Helpful 2 people found this helpful
January 7, 2015
Answer: Cartilage graft to fix rotation of nose tip Hi Zoya, The upturned tip can be corrected with cartilage grafts from the septum or the ear. Generally, your surgeon will find other things that can be improved during your revision. If indeed the only necessary alteration is to decrease the tip rotation, I would recommend giving the first chance to your original surgeon. He/she is very familiar with hs/her own surgical style, and may be able to easily correct such a small deformity with a touch-up procedure. Good luck.
Helpful 2 people found this helpful