Can you make my medial footplates thinner and could doing this provide less support for my tip? (Photos)

Hello,Thank you for your question. Based on your photos you seem to have a very narrow nostrils and sharp tip, that needs to be refined. Rhinoplasty is one of the most challenging procedures in plastic surgery, and tip plasty is its most difficult aspect. The lower lateral cartilage is (LLC) is the primary structure that is responsible for the shape and function of the ala. I have developed a Novel Technique which is called as Superior-Based Transposition Flap to reshape, relocalize and reinforce the LLC as a support material for both internal and external valves with aesthetic corrections, leaving the scroll area untouched. I use suturing techniques to achieve a narrower, refined and aesthetically pleasing tip. Breathing issues can be addressed at the same time.
Comparing to the open rhinoplasty Closed and Atraumatic technique in Rhinoplasty minimizes swelling and bruises; maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please click on the attached link.

Best Regards

Based on your photos, it is very likely that reducing or correcting footplates would decrease width of distal columella in your case. It should not affect the projection of the tip if done correctly. In person consultation with an experienced board certified plastic or ENT surgeon with good reputation in rhinoplasty is suggested. Good luck.

Hello and thank you for your question. Based on your photographs, you may benefit from narrowing your medial crural footplates and adding alar contour grafts.  This will not cause your tip to droop if good technique is used.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon.

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon
 

Probably it would improve tip support to narrow that area.  We'd likely do that right in the office. If you wanted to increase projection that could also be done at the same time.

Yes, it is possible to make the  footplates thinner as part of a closed rhinoplasty procedure. A full set of pictures and in-person examination are going to be required to make that determination. Rhinoplasty is a very difficult endeavor, so choose your surgeon wisely based on extensive experience

Pjannahx, Procedures can be done on this part of the nasal anatomy without significantly changing tip projection or rotation but whether or not you need this done can only be told by an exam. See an experienced plastic surgeon that operates on only faces and has decades of experience. See the video and good luck!