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In the experienced hands of a rhinoplasty specialist your chances of requiring a revision rhinoplasty procedure for a bulbous, rounded nasal tip are quite low. There are a variety of factors that go into the equation, which can all influence whether or not a secondary rhinoplasty surgery is needed. For example, if you have fairly thick skin, this can be a limiting factor in terms of how much definition you ultimately see in the tip region. If this type of skin does not shrink wrap down to the new shape of the underlying cartilage, a revision procedure may be warranted to try and achieve even more definition. By seeking out a rhinoplasty expert in your region, this type of issue and others can be addressed in advance of your surgery so that a realistic expectation can be established. I have included a link below to our dedicated website that focuses on just rhinoplasty surgery. This particular link will take you to our page that discusses in detail management of the bulbous nasal tip. Good luck with your decision.
Revision rhinoplasty chances after primary rhinoplasty should be quite minor and only 1-2%. If you choose carefully and have an experienced rhinoplasty surgeon your chances of needing something after should be very small.
If you choose your surgeon carefully the chance of needing a revision should be very small, perhaps 2%. An experienced surgeon and good communication are the key to success. Best of luck, peterejohnsonmd
Most sources quote an approximate 5% of rhinoplasties require revision. This number does vary from surgeon to surgeon and with the severity of the nasal deformity. See a board certified surgeon who does rhinoplasty often to improve your odds. Donald R. Nunn MD Atlanta Plastic Surgeon.
Hi, It all depends how bulbous your tip was and what was done at the first surgery. In my opinion, open rhinoplasty with tip defatting and cartilage grafting is necessary to achieve good results. My website below has info on treating bulbous tips. Best, Dr.S.
There are definitely rhinoplasty maneuvers that can be used to rotate a tip down. Some are simple and some are not. It depends on the degree of over-rotation, the skin, available grafting material, what was done in previous surgery, etc. Take a look at my photos in Realself...
I'm sorry you are unhappy but am a little confused about what your goal/problem was. You mention waiting your tip lifted but are asking for your "hang" back. Is the nose tip to rotated now? If so that may still be swelling. Certainly thngs can be done but the most important problem to solve is...
I have performed Rhinoplasty for over 20 years and IMHO, it would be unrealistic to think the rib graft could be shaved exactly 1mm. The strut can certainly be removed and if you're already having a revision Rhinoplasty to do that, it does make sense to try and decrease the rib...