Is it possible to correct an overprotected tip and my nose length with a revision rhinoplasty? (Photos)

Question

I've had a rhinoplasty 10 years ago and was left with a pinocchio nose. I tried to correct it 5 years later and the surgeon failed. Recently, I consulted another surgeon and he told me it's impossible to deproject the tip and shorten the length of nose (from the front). Can I still have hope or is it truly impossible?

Man Koon Suh, MD · Answer

Thank you for your question. Looking at your pictures, it is clear that your nasal tip is definitely overprojected and too long. Furthermore, tip and columella are crooked, which is the cause of nostril asymmetry. I suppose columella and tip deviation are closely related with septal deviation as well as the asymmetry of lower lateral cartilage itself. I must say that I do not understand why your surgeon told you the correction is impossible. Your nasal tip can be deprojected and shorter. Tip and columellar deviation can be also corrected, even if the surgery is not easy and simple. Under the experienced surgeon’s hands, your nose deformity can be corrected well and you can expect a good and satisfying result.

Steven J. Pearlman, MD, FACS · Answer

There are a number of maneuvers to reduce nasal tip projection. Sometimes when a patient has very thick skin, this cannot be achieved. However, from your photo, it looks like this can be achieved. Of course, a personal exam is necessary since we need to feel the structure beneath to see how much is cartilage and how much is skin. You should see a revision rhinoplasty specialist for an exam and possible revision rhinoplasty.

Eric M. Joseph, MD · Answer

Revision rhinoplasty may be considered for achieving a less projected nasal tip appearance, a shorter nasal appearance, and for improving the asymmetry at the base of your nose. The feasibility of revision surgery in your particular situation would require an examination. Hope this helps. Dr Joseph

Connie Hiers, MD, FACS · Answer

To shorten your tip you run the risk of dropping the tip. The skin is not removed so with no support, it can drop.

Is it possible to correct an overprotected tip and my nose length with a revision rhinoplasty? (Photos)

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