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Can my tip rotation and projection be increased?

Thoughtful301713Jul 29, 2024
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?

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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1713 Reviews
Answered on Jul 31, 2024
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, you are a good candidate for a Revision Rhinoplasty which can be performed to help improve the tip and columella symmetry. These types of complex maneuvers during revisions are often times best performed using open rhinoplasty...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. You may need to try uploading your photos again. Generally speaking it is possible to change nostril shape and size during a revision. There are many ways to accomplish this and this specific technique best for you will depend on your individual anatomy....

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Richard G. Reish, MD, FACS

Hello and thank you for your question. A dorsal onlay graft consisting of diced cartilage wrapped in fascia could help augment your dorsum. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty...

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