Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

see all q&a
Posted underRevision Rhinoplasty q&a

How can my nose tip support be reconstructed after a poor septoplasty? (Photos)

wallacejamesFeb 25, 2020
I had septoplasty for functional reasons, and the surgeon ended up resecting most of my septum, scooping out its inner part, leaving it with sort of a L-shape (as he described). This ended up in a loss of nose tip support, in what I think is columellar retraction, in my nose becoming pointier, and a decreased nasolabial angle. My goal is to recover my original nose shape. How realistic is it that this can be done? If it can be done, how can it be done?

Answers (2)

From board-certified doctors and trusted medical professionals
Thomas A. Mustoe, MD, FACS profile photo
Dr. Thomas A. Mustoe, MD, FACS
Board Certified Plastic Surgeon
4.9 | 340 Reviews
Answered on Mar 1, 2020
Answer
🔗 Link
Eric M. Joseph, MD profile photo
Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
4.9 | 627 Reviews
Answered on Feb 27, 2020
Answer
🔗 Link

More Revision Rhinoplasty Questions

Top Answer
User Avatar
Thomas A. Mustoe, MD, FACS

The best way to augment the dorsum with a controlled shape is finely morselized cartilage Inam fascial wrap.   A single cartilage graft will have a high risk of edges.  Using filler to give a temporary result would help you visualize what you want.   Revision rhinoplasty with cartilage graft...

+4 answers
Top Answer
User Avatar
Avron Lipschitz, MD

In general grafts can be removed, modified or trimmed. It would be important to evaluate you in person to see the area of concern. Sometimes a surgical simulation tool using Vectra technology can facilitate communication.

+5 answers
Top Answer
User Avatar
Thomas A. Mustoe, MD, FACS

A graft is either held in place by dissolvable sutures or by forming a precise pocket.   During the healing process it can occasionally shift slightly but this is infrequent.   However it is one reason to prefer underlay grafts to onlay grafts.   An underlay gray will never show.   Sometim...

+4 answers
Top Answer
User Avatar
Andrew Miller, MD

This is a difficult problem. The cartilage inside the nose is asymmetric and retracting on the left side. The best way to attempt a correction would be with surgery. Either a cartilage graft or composite graft internally can be contoured to improve the defect with a permanent result. Be sure to...

+4 answers
Top Answer
User Avatar
Tanveer Janjua, MD

You have higher risk of complications with the third surgery and the benefits will not be that remarkable. If your nose looked horrible then it would be worthwhile to take the chances. RegardsDr. J

+1 answers
Top Answer
User Avatar
Jay Calvert, MD, FACS

I would recommend several aspects of the nose to be repaired: narrow the bridge between the eyes, make the tip less bulbous, and support the tip in a bit of an elevated position.This would probably require some grafting to hold the shape of the nose.

+2 answers
See all Revision Rhinoplasty Q&A
See more Revision Rhinoplasty Q&As
See all Q&As
SEE REVISION RHINOPLASTY GUIDE →