Could Revision Rhinoplasty Unintentionally Augment Bulbous Tip?

I had a primary rhinoplasty done over a year ago but the results are MUCH too subtle for my liking (most likely due to my thicker skin). I consulted with another doctor who more or less told me he could squeeze the cartilages more tightly together and insert a tip graft to achieve a more triangular tip effect. He told in the ideal situation, he could achieve 20% improvement. Although that seems realistic to me, I'm afraid. How likely do you think the revision would make my nose more bulbous?

Doctor Answers 2

Revision Rhinoplasty and Bulbous Tip

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It all depends on how bulbous your tip is now vs. before the first surgery. You could have improvement with a revision so long as the surgeon is confident he/she can reduce the bulbous nature of your tip. However, a revision can introduce more scar tissue making your tip even more bulbous. It's very difficult to say without seeing what you look like now.

New York Facial Plastic Surgeon
4.8 out of 5 stars 283 reviews

Revision rhinoplasy causing a more bulbous tip

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It's pretty unlikely that revision rhinoplasty surgery using the techniques your most recent consultation suggested would lead to a more bulbous tip. I've not seen your nose, obviously, but you may want to avoid over doing the narrowing as this can lead to a too pinched nose instead.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

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