What to Do with the Hump on my Nose Tip After Rhinoplasty? (photo)

I had a rhinoplasty one and a half year ago and the tip of the nose will not go down, before the surgery my nose was splitted on the middle of the tip so they did tight it together but now i have the split sideways on my nose :( It do feel horrible when i smile because the nose tip turn up and seem long. he did also remove alot on the bridge, before my nose was straight and i would still like it to be. what can be done do make it better ? the surgent say i should come back everytime im there.

Doctor Answers 4

Options for nasal tip hump after rhinoplasty

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The hump in the tip can be further refined with a tip-plasty, which will require exploration and adjustments of the nasal tip cartilages.  Occasionally, some cartilage will need to be removed.  Sometimes the cartilages are sewn together to create more symmetry and occasionally grafts are also added to the nasal tip depending upon the issues.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Undesirable Resulf 1.5 Years after Rhinoplasty

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I'm sorry you have problems following your rhinoplasty. You have waited 1.5 years; so the nose will not change significantly in the future. The tip should be narrowed and defined. Cartilage should be added to support your tip and to lift the depressed portion lateral to your central boxy tip. I would also add cartilage to your bridge line to improve the  scooped profile. Select an experienced revision rhinoplasty surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews


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It is always nice to see the pre-ops and the post-ops.  Just from the post-ops it looks like the tip is not well supported and the dorsum needs grafting.  A full exam is  key.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

What to Do with the Hump on my Nose Tip After Rhinoplasty?

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You have poor tip support, and this is why the tip drops when you smile. Re-supporting the tip with a caudal septal extension graft would solve this. 

There is loss of lateral wall support on the tip, causing the pinched look and the square tip appearance. I would recommend grafting the side walls to address this problem.

Lastly, you need augmentation of the dorsum to raise the bridge. Cartilage would be my first choice.

Best of luck,

Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 113 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.