Is Possible to Reverse a Cephalic Trim?

Question

about a year ago i had my nose straightened, dorsal bump removed and a cephalic trim to lift a droopy tip. my surgeon did a great job but i cant seem to adapt to the change and i basically want it reversed, i spoke to my surgeon and was told it is possible to droop the tip back by adding cartilage to push it back down and guessing the bridge will be augmented. is it possible to reverse the changes made? if so what cartilage graft would be best to use? and what would be the success rate? thanks

Vincent N. Zubowicz, MD · Answer

Revisional surgery might not be in your best interest. Cartilage grafting is tricky in the likelihood of restoring your nose to its preoperative state is unlikely.

Aaron Stone, MD · Answer

You cannot go back in time and undo a surgery. You say your surgeon did a great job but you cannot "adapt" and want your hump and droopy tip back that is a red flag for trouble. How will you be able to judge the results of the revision? The chances of you being unhappy again are high. I feel sorry for your surgeon.
	
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Kenneth Hughes, MD · Answer

Adding cartilage to the tip will restore fullness to the tip, but this maneuver generally will not depress the tip. However, other maneuvers can be employed to reposition the tip or lengthen the nose as the anatomy dictates. Kenneth Hughes, MD Los Angeles, CA

Jeffrey Zwiren, MD · Answer

A revision could certainly be performed if your are not happy with your result following a rhinoplasty. A cartilage graft could be performed to fill in the area that is depressed by resection of the cephalic portion of the lower lateral cartilage.

Steven Wallach, MD · Answer

Sorry that you are unhappy with your results.  While certain maneuvers can be used to restore some of you earlier appearance it usually can not be completely reversed.

Is Possible to Reverse a Cephalic Trim?

Answers (8)