Is a tip rhinoplasty w/ minor shaving and straightening possible using local anesthesia and oral sedation? I’ve had an Otoplasty under local only and did well, and I really want to do my rhino this way, but finding a Dr to do this has been difficult. Can any improvements be made to my tip with this approach? Even if it is minor? Thank you
September 12, 2023
Answer: It is possible to perform the tip correction only Your nasal tip exhibits a bulbous appearance with a bifid tip shape, along with noticeable tip asymmetry and a slight retracted alar rim. It's essential to possess the expertise needed to prevent exacerbation of the retracted alar rim while correcting the bulbous tip through lower lateral cartilage realignment. When dealing with the lower lateral cartilage, achieving the desired results is challenging through simple shaving alone. Both trimming and realignment are typically required, and depending on the specific circumstances, cartilage grafting may also be necessary. Local anesthesia can be administered if preferred.
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September 12, 2023
Answer: It is possible to perform the tip correction only Your nasal tip exhibits a bulbous appearance with a bifid tip shape, along with noticeable tip asymmetry and a slight retracted alar rim. It's essential to possess the expertise needed to prevent exacerbation of the retracted alar rim while correcting the bulbous tip through lower lateral cartilage realignment. When dealing with the lower lateral cartilage, achieving the desired results is challenging through simple shaving alone. Both trimming and realignment are typically required, and depending on the specific circumstances, cartilage grafting may also be necessary. Local anesthesia can be administered if preferred.
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July 17, 2023
Answer: Well, sorry, no, your nose requires more work than that... You have two very strong and asymmetric tip cartilages, like the woman whose before and after I posted with this answer. You can see and feel the little dent between those cartilages. And the bridge looks wide as well, and also asymmetrically wide. Minor shaving would make no changes to your nose -- in face, you should run from any surgeon who suggests it! However, with IV sedation, you don't need general anesthesia and a breathing tube, so maybe that would be a compromise for you.
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July 17, 2023
Answer: Well, sorry, no, your nose requires more work than that... You have two very strong and asymmetric tip cartilages, like the woman whose before and after I posted with this answer. You can see and feel the little dent between those cartilages. And the bridge looks wide as well, and also asymmetrically wide. Minor shaving would make no changes to your nose -- in face, you should run from any surgeon who suggests it! However, with IV sedation, you don't need general anesthesia and a breathing tube, so maybe that would be a compromise for you.
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