Revision (tip work) - am I a good candidate? (Photo)

Question

2.5 years post rhinoplasty/septoplasty for a deviated septum. Breathing improved significantly and nostrils more symmetrical. My old nose had a defined tip. My new tip is hard/ wider. I am also concerned about lingering swelling and numbness. My surgeon will perform a revision at low cost. His suggestion “cartilage grafting over the mid dorsum to the tip + possible peritip grafting for slight lengthening/tip sharpening" Am I a good candidate, what are potential risks, other recommendations?

Steven M. Denenberg, MD · Answer

Sometimes it's much better to have the chance to *feel* a nose, but just from these photos, here goes: the very very tip of the nose seems narrow-ish, that prominence of cartilage at the very tip of the nose that we saw in the before photo, too, especially the smiling ones, which pull the skin tighter. Some of the views make it seem that the nose is wide just *above* the tip, on your right, in photos #5 and 6. Is there some grafting there?

Then, on the profile, besides the small remaining hump, the nose looks plenty long enough to me. I don't know that you would love having the nose lengthened at all. The frontal views as well don't seem to indicate a nose that should be lengthened.

And finally, I don't love putting more cartilage *into* a tip when the complaint is that there is already too much tip. Putting stuff *in* usually makes things look bigger/wider/longer, and my intuition would be to go the other way.

My two cents.

Perhaps if your surgeon were to make some high quality morphs that you loooove, and then justify mechanically how putting more cartilage into the nose, in those areas, will make those changes happen? Perhaps a second opinion on what to do?

Revision (tip work) - am I a good candidate? (Photo)

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Revision (tip work) - am I a good candidate? (Photo)

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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.