Are there any minimally invasive or conservative revision options that might help with a crooked tip? (Photos)

Question

I had a closed rhinoplasty 1 year ago. The surgeon only worked on the cartilage, not on the nasal bones. I’m not happy with the result – especially the tip of my nose, which now looks more crooked than before surgery. What are my options at this point? I’m specifically looking for a low-impact solution, because after my last surgery I had very strong swelling and a tough recovery. Are there any minimally invasive or conservative revision options that might help with a crooked tip?

Andrew Miller, MD · Answer

Based on your photos, you are a good candidate for revision rhinoplasty. Often times during a closed rhinoplasty, it can be hard to get the tip cartilages exactly symmetical. For a revision, the nose would have to be opened, and possibly some cartilage grafts used to straighten the tip and bring back the symmetry. Be sure to see an expert rhinoplasty surgeon for consultaion.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a good candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. The tip symmetry and mid vault symmetry can also be improved. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Are there any minimally invasive or conservative revision options that might help with a crooked tip? (Photos)

Answers (2)

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