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Second Revision Rhinoplasty for Bulbous and Drooping Tip?

ukgirl25Jan 24, 2013
Hi, I have had two previous rhinoplasty operations, the first reduced the hump, the second made my nose slightly smaller overall, however I still feel like my tip is slightly bulbous and long/droopy, especially when I smile. I believe I have a hanging columella, even prior to surgery, I did not ask my previous surgeons to fix this as I didn't know much about rhinoplasty at that time. Can my nose be improved? Can the tip be more refined? Do I in fact have a hanging ? Is this easy to fix? Thank you.

Answers (4)

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Dr. Sam Naficy, MD, FACS
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Dr. Sam Naficy, MD, FACS
Board Certified Facial Plastic Surgeon
4.7 | 280 Reviews
Answered on Jan 25, 2013
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1 person found this helpful
Dr. Kenneth Hughes, MD
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Dr. Kenneth Hughes, MD
Board Certified Plastic Surgeon
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Answered on Jan 27, 2013
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Dr. Steven Wallach, MD
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Jan 26, 2013
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1 person found this helpful
Dr. Richard W. Fleming, MD (retired)
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Mar 13, 2016
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Ivan Wayne, MD

You are very early in the healing phase. I think there are 3 reasons patients get polly beaks: 1. The tip is too weak and drops back making the lower part of the bridge appear too high forming a polly beak, this can be seen immediately after surgery or it can develop slowly as a weak tip...

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Christopher Kolstad, MD

Hello,    Thank you for providing photographs with your question.  It makes having a meaningful discussion about your concerns a little more realistic.     Scooped bridges, over-rated and pinched nasal tips were much more common 15 years ago then they are today.  Rhinoplasty techni...

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Kenneth Hughes, MD

   Having a bigger nose at 10 days after rhinoplasty is nothing about which to panic.  You are swollen, and it may take 3 months to even get an idea.  1 year is necessary for full results.

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Kenneth Hughes, MD

    Alloderm presumably revascularizes and becomes incorporated into your tissues at least according to the research.  Alloderm does not have enough tensile strength to be used as a strut.

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Thomas A. Mustoe, MD, FACS

It is normal for the scar to be not flat and visible at 2 weeks. These scars settle down over several months, and it is rare for a revision of the scar to be necessary.  The scar will generally improve for up to a year, and unless it is very bad, would not recommend revision before then. It...

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Alejandro Nogueira, MD

ASAP, give up fillers, you are damaging the tissues and making more difficult, riskier and eventually at a certain point unfeasible your revision rhinoplasty.Based on the images I have to doubt you major deformity is due to a simple medical surgery on you like, I guess, a septoplasty; since...

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