Post op rhinoplasty
Because your skin is thin, I would recommend fat grafting of the tip. You just need a small amount to provide more padding over the cartilage. This can be done without opening your nose and will provide stable coverage for years.
Cartilage showing through the skin
- Placing a piece of soft tissue (fascia) will help camouflage the tip cartilages
- It would add about 1mm of projection depending on the piece placed
- You can adjust for that by removing just a slight amount of cartilage
- It is best to see your surgeon or a second opinion where you can be examined
- From there we can address your concerns
Obtaining your previous operative note and consulting with a rhinoplasty specialist would be helpful in determining if your diagnosis is indeed correct. If it is in fact a piece of cartilage or cartilage graft that has shifted over time, then a removing it through a closed approach would not result in a significant amount of downtime.
Sometimes sharp contour irregularities can result from twisted or deviated cartilage, and if that is the case you may require a more extensive revision to achieve a nice result.
Thank you for your question and photos. Based on the pictures, you would be a candidate for a revision rhinoplasty with placement of a tip graft to soften the contour. Alternatively, we have had good success with soft tissue fillers in the nose. These do not require surgery, but are temporary. Interestingly, we find that fillers last longer in the nose than they do other areas of the face, some as long as 2-3 years. See an experienced plastic surgeon to discuss this option further. Good luck.
Tip graft showing
It is a tough question to answer without seeing you in person. In general, it is much better to re-build the underlying structure rather than just place soft tissue or crushed cartilage over the top of a problem. There are many solutions and the exact method would require a further discussion and an examination. If the graft was placed to give you a bit of projection, we can re-shape the tip cartilages and project them a bit which will give the same result of tip placement without a graft. Meet with a few revision rhinoplasty surgeons and they can give you more specifics.
Best of luck
Tip cartilages showing after rhinoplasty.
Tip cartilages showing after rhinoplasty. This is often seen in natural noses. However, if it bothers you it can be softened with soft tissue at 9-12 months by a very experienced revision rhinoplasty surgeon.