Hi <3 I did a primary rhinoplasty in 2017. I'd like to refine my tip. I've been told I have thick skin (middle eastern). I'd like to shave down the side and bring down the root of the nose and also get more definition on tip. What's possible here? Also I feel some days my nose is more swollen. I have a large bump (I think scar tissue) inside nostril as well. Would love advice on what to do to achieve my desired result (defined tip and shave down bridge of nose for more curved side profile).
December 11, 2024
Answer: Tip Fullness / Shape in revision rhinoplasty Hello, While thick skin can limit the level of refinement and has to be taken into account, it seems the main issue is from the actual shape of the tip. From the these photos, it seems the shape of the cartilages under the skin is more rounded, which results in a fuller appearing tip. This is one of the most common issues that I see in revisions of all skin types. When it comes to the tip, the shape is the most important aspect, but it is also the hardest to address. Cartilage can be very stubborn and difficult to reshape ---To understand this, just try to fold your ear and see how it springs back to its original shape. --- So the techniques required to get the desired shape are usually the more meticulous and time consuming ones. The goal of these techniques is NOT to simply cut away cartilage and pinch it in with stitches, but to support the cartilages in a way that will allow the tip cartilages to have a soft curve at the tip and transition into a flatter segment on the sides. This may be hard to visualize but seeing a video on the anatomy of the nose might help. As for the bridge, yes it can be lowered but you must also consider deepening the radix and deprotecting the tip in order to maintain adequate proportions. Make sure to seek out a surgeon that truly specializes in rhinoplasty and performs frequent revisions.
Helpful
December 11, 2024
Answer: Tip Fullness / Shape in revision rhinoplasty Hello, While thick skin can limit the level of refinement and has to be taken into account, it seems the main issue is from the actual shape of the tip. From the these photos, it seems the shape of the cartilages under the skin is more rounded, which results in a fuller appearing tip. This is one of the most common issues that I see in revisions of all skin types. When it comes to the tip, the shape is the most important aspect, but it is also the hardest to address. Cartilage can be very stubborn and difficult to reshape ---To understand this, just try to fold your ear and see how it springs back to its original shape. --- So the techniques required to get the desired shape are usually the more meticulous and time consuming ones. The goal of these techniques is NOT to simply cut away cartilage and pinch it in with stitches, but to support the cartilages in a way that will allow the tip cartilages to have a soft curve at the tip and transition into a flatter segment on the sides. This may be hard to visualize but seeing a video on the anatomy of the nose might help. As for the bridge, yes it can be lowered but you must also consider deepening the radix and deprotecting the tip in order to maintain adequate proportions. Make sure to seek out a surgeon that truly specializes in rhinoplasty and performs frequent revisions.
Helpful
