Revision rhinoplasty - tip lifting? (photo)

Question

I am not satisfied with my nose job. Bridge is too narrow and tip is still droopy. My question is, 1) What can be done to my tip for revision? Just lifting OR lifting + trimming cartilages 2) For my tip to be lifted, will my bridge needs to be shortened? Since the bridge and tip are connected... Just lifting the tip seems like wont work and it'll drop to where it was before since the bridge is long... Am I right?

Kenneth Hughes, MD · Answer

I would recommend that you not try to analyze the problems with your nose and methods for correction.  I can say that there are multiple techniques to address your concerns.Find a plastic surgeon with ELITE credentials who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

Robert Kotler, MD, FACS · Answer

Dear germangirl1990;If you are not
satisfied with your nose after rhinoplasty, it may not be that the "bridge
is too narrow," but rather, the tip is slightly full for the bridge that
was created. Without seeing the before
photos, it is hard to know for certain, but that can certainly be
evaluated. Now, with respect to the tip
being droopy, I would agree with you that it does deserve a little lift. Lifting the tip will make a big difference
for you. That should be done very
conservatively. Generally, the tip can
be lifted by further trimming of the upper part of the tip or alar cartilage as
well as perhaps trimming the upper lateral cartilages. Both of these together have an impact on the
length of the nose.The longer the nose
is, the droopier it is.The other factor
is the septum. It may be that the
septum, that partition separating the two nostrils, needs to be trimmed to
allow the tip of the nose to ride upwards a bit, but you want to be very
careful.You need to be very
conservative, and one factor that needs to be looked at is whether or not you
have an overactive depressor septi muscle. An overactive depressor septi muscle will tend to keep pulling the tip
of the nose down, elongating it, and contributing to that droopy look.I
recommend you do as much study as possible before proceeding to consultations. Have multiple consultations and be sure to
meet with surgeons whose practice and the majority is nasal surgery. This is very important. Nasal surgery is the most complex and
challenging, and revision nasal surgery is even more so.Study
up, read books, visit websites, do as much homework as you can, and talk to
people who have had revision rhinoplasty surgery.You want to do it right.The most important factor will be whether or
not your desires can be achieved through standard techniques. Don't look for any wild and crazy or
experimental processes. Often, we see
people who are attempting to change the shape of their nose by putting plastic
parts into the nostrils.These are not
solutions.These are just gimmicks.After
you have done your homework, be sure to have computer imaging with the doctors
whom you visit in consultation.Let them
show you what they believe they can achieve. Equally important is, let them share with you other patients who have
similar imperfections and the before and after photos that show how successful
the doctor has been. If the doctor has
been successful for other people with the same problem, chances are, he or she
can deliver a good result for you.Robert Kotler, MD, FACS Facial Plastic SurgeonAuthor, SECRETS OF A BEVERLY HILLS
COSMETIC SURGEONAuthor, THE ESSENTIAL COSMETIC
SURGERY COMPANION

William Portuese, MD · Answer

Rhinoplasty is a very difficult endeavor and its best to look for a very experienced revision rhinoplasty specialist for best results. A full set of quality pictures would be needed to given any specifics  upon what may need to be done regarding this nose. Reverse osteotomies will widen a narrow bridge, while lifting the tip is performed with a variety of techniques such as shortening the caudal septum and tip suturing techniques of the lower lateral cartilages. Virtual rhinoplasty software is available on the link below along with our rhinoplasty photo  gallery to get an idea of what can be accomplished

Revision rhinoplasty - tip lifting? (photo)

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Revision rhinoplasty - tip lifting? (photo)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.