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Can a revision fix my ski-slope nose? Would fillers work? (photos)

sanasaaiJan 13, 2021
I had my primary rhinoplasty last year, and the tip is severely over-rotated and pointy. I cannot stand looking at it, and was wondering if work could be done to just round the tip? i don't mind the slope, i just want this pointiness gone. would fillers work to fix this too?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Richard Mark Winters, MD
Board Certified Plastic Surgeon
Answered on Jan 23, 2021
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Thomas A. Mustoe, MD, FACS

Unfortunately grafts can become visible years after rhinoplasty as all of the swelling completely resolves and the only solution is a revision to remove or reposition the gray. The tissues have usually healed with enough structure that the graft can just be removed. That is why when we...

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William Portuese, MD

You do have an inverted V deformity based on these photos. A closed rhinoplasty can accomplish improvement with osteotomies placed in the nasal bones to narrow them, and spreader graft placement under the collapsed upper lateral cartilages to widen them. All incisions are placed on the inside...

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William Portuese, MD

A closed revision rhinoplasty is certainly possible, however it needs to be done under general anesthesia. The photo shows an over-rotated tip and a hanging columella. All incisions are placed on the inside of the nose. Consider a chin implant for the recessive chin profile.

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