How risky would revision be for pinched tip/parenthesis deformity? (Photos)

Question

I had a closed rhinoplasty 2 months ago to thin a wide bridge and tip. The cartilages were trimmed and sutured. The bridge turned out nicely but the tip seems crooked and pinched. My right cartilage also feels tight, if that makes sense. I know it's still early but my surgeon doesn't think my concerns will resolve on their own. He also doesn't think the tip looks bad enough for revision but I'm so self conscious of it. Down the road, how risky/involved would a revision be to get it fixed?

Thomas A. Lamperti, MD · Answer

From your photographs it looks like you may have cephalically positioned lower lateral crura (meaning that they angle too far up toward the eyes). This can cause the parentheses deformity you mentioned. The result is that there isn't adequate underlying structural support of the nostril margins which then leads to the tip pinching.Lower lateral crural repositioning can a great way to fix this problem. This involves rotating the tip cartilage downward so they aren't angled so far up.This is an advanced rhinoplasty maneuver and not all rhinoplasty surgeons are well versed in performing it. With a surgeon comfortable with the technique it should be possible to improve the appearance of your tip though.You can read more about pinched tip rhinoplasty at my web reference link below.

Kenneth Hughes, MD · Answer

I would definitely give your nose more time, as some or all of this may improve.  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

How risky would revision be for pinched tip/parenthesis deformity? (Photos)

Answers (2)

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.

How risky would revision be for pinched tip/parenthesis deformity? (Photos)

Answers (2)

Browse related questions

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.