What is the Success Rate of Patients Having Rhinoplasty to Correct a Twisted Tip?

Doctor Answers 12

Twisted nasal tip

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There are no statistics available as to the exacts success rate. It will depend on the complexity (i.e. does it involve more that just the tip cartilages, will it require a graft, etc), the experience of the surgeon and factors such as tissue healing. Generally it is a fairly complex problem so seek several consults.

Sacramento Facial Plastic Surgeon

How successful is rhinoplasty surgery?

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Its a great question. The answer depends on; the patient, the surgeon and the nose. Patient expectations ultimately determines success. So surgeons chose patients with what they consider reasonable expectations. The surgeon is the second variable in the equation. Better surgeon, better the outcome. And finally the nasal deformity influences the success. More twisted, less success. So its hard to give a general statement, although the usual statement is '95% success'. Unfortunately the reality is that its probably more like 80%.  

Correcting a Twisted Nasal Tip

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Correcting a twisted, deviated, or asymmetrical tip can be very challenging ; the degree of success will depend on the experience of your surgeon, if the problem is secondary to previous surgery or trauma, and the cause of the tip deformity. Your surgeon should be able to answer these questions before surgery. 

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

Rate of Success of Rhinoplasty Correcting Twisted Nasal Tip

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Hi Crooked,

Rhinoplasty can be very effective in correcting a twisted nasal tip.  Success of the operation is dependent upon proper diagnosis by your rhinoplasty surgeon, use of appropriate techniques, and the degree of the deformity to begin with.  In the best of hands, the revision rate for rhinoplasty is 5 to 10%.  The most important aspect of your rhinoplasty is to most carefully choose your rhinoplasty surgeon (see web reference below).  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Correcting a twisted nasal tip

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Correcting a twisted nasal tip can be challenging.   Generally significant improvements can be achieved.  The anatomic cause of the deformity must be assessed  and expert precise reconstructive surgery performed to realign the tip and enhance symmetry.   Both open and closed rhinoplasty can achieve improved nasal tip alignment.  Ultiimately the severity of the deformity to the septum and the nasal tip cartilages needs to be evaluated by a rhinoplasty surgeon.  The surgeon will then create a surgical plan and pick the procedure he or she is most comfortable performing.  These cases are challenging and should be carried out by an experienced rhinoplasty surgeon for best result..

Philip Solomon, MD, FRCS
Toronto Facial Plastic Surgeon
4.4 out of 5 stars 119 reviews

Success of rhinoplasty for twisted tip correction

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How successful rhinoplasty is in correcting a twisted tip depends on both the surgeon doing the surgery and the severity and cause(s) of the twisting.

No one can guarantee you a perfectly symmetric tip, but you should be able to get a good idea of a surgeon's overall skills by looking at a number of before and after photos. In office digital morphing would allow your potential surgeon to give you a better idea of what results could be expected in your specific case.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Success Rate for Correcting a Twisted Nasal Tip

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A few things to consider:

  • Even for the best rhinoplasty surgeons, the revision rate is 10 to 15%
  • If you define success as a totally symmetric result, then the chance of success may be low
  • If you are realistic and willing to accept an improvement, then success may be high
  • If you have unrealistic expectations, then you are unlikely to be satisfied
  • Complex rhinoplasty procedures tend to have higher revision rates 

Therefore, it is best to discuss your individual case with a Board Certified plastic surgeon or facial plastic surgeon to determine your goals and options.

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 76 reviews

Rhinoplasty for Twisted Tip

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An experienced surgeon should be able to help you. I think that the open approach is best for these types of problems.

Twisted tip rhinoplasty

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Results from rhinoplasty are determined as much by expectation as by surgical skill.  You and your surgeon should have an intimate discussion of your anatomy, the plan, and the possible results (good and bad).  You should have a complete understanding of what is being recommended and how it might affect your appearance.

Choose a surgeon certified by the american board of plastic surgery and be sure to ask to review pre-  and post-op pictures of your surgeon's work.  Does your surgeon alter appearance aggressively? Not enough? Do all the noses look alike?


The Success Rate of Patients Having Rhinoplasty to Correct a Twisted Tip?

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As with everything Cosmetic Plastic Surgery-related the final outcome depends on the proper diagnosis, the Plastic surgeon's skill, the starting point (how challenging the original deformity is) and the patients degree of realistic expectations. The tip rests on the front end of thye septum which ideally is a straight wall separating the nostrils. Unfortunately, the septum can be bent in many ways and to various extremes. As the septum buckles, the tip shifts. As a result, correction of a twisted tip depends on perfect correction of a deviated septum. This may or may not always be possible. But, a significant improvement is possible in most cases.

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.