Can my tip rotation and projection be increased?

Question

Hi, I had a revision rhinoplasty in which my surgeon did rib grafting. However, I feel that my tip wasn’t projected enough and I also feel that my tip was not rotated/lifted enough. The columella-philtrum junction also needs to be improved. How can that be improved without it restricting my smile? Is it a good idea to get a revision to increase the nasolabial angle and project the tip more? If so, can the revision re-use the rib grafts in my nose or will they need to harvest a new rib?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a revision Rhinoplasty to elevate your tip. I usually recommend using MTF Cartilage grafts to help support the tip In revisions of your own septal cartilage is missing. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

REVISION RHINOPLASTY PROVIDERS NEAR YOU

Can my tip rotation and projection be increased?

Answers (1)

REVISION RHINOPLASTY PROVIDERS NEAR YOU