Is there a way to add to the tip that could cover up his nostril asymmetry? (photos)

Dear alli_204,

Thank you for your clinical
post. In your investigations of possible
options for revision rhinoplasty your current question about adding to the tip
to both increase the length of the nose and create more refinement to the tip
is certainly possible. Structured
grafting of the nasal septum to lengthen the nose and refine tip position as well
as altering the lower lateral cartilages can bring more refinement and symmetry
to the nostrils as well as re-lengthen an overly shortened nose.

Most importantly, I would wait a
minimum of 12 months from the time of surgery before entertaining any revision
surgery and interview numerous surgeons with good rhinoplasty reputations. In the City of Toronto certainly Dr. Peter
Adamson is one such surgeon with an excellent revision rhinoplasty
reputation. Dr. Bernd Neu, Dr. Philip
Solomon and as well as myself and several other plastic and facial plastic
surgeons have over 20 years of cosmetic nasal surgery and secondary rhinoplasty
experience.

Computer imaging with realistic
review of range of outcome possibilities is an important way to have realistic
expectations. If you had a septoplasty performed
alternative source of cartilage grafting will need to be explored or the use of
alloplastic structures.

Dr. Oleh Antonyshyn at Sunnybrook
Hospital also is an expert rhinoplasty surgeon and deals with a lot of revision
rhinoplasties from trauma and cosmetic interventions.

I hope this has given you some
opportunity to review your options and best of luck.

To find out more, please visit the
link below.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto