Wanting revision rhinoplasty. Will my nose be flexible when the implant is taken out and my cartilage is used? (Photo)

Question

Hello! I'm 23, female, black/African American looking into revision rhinoplasty. The doctor used an implant which didn’t give me the results I wanted (at the time I thought it would). My tip is not flexible, it has remained hard 3 years later. (Gotten rhinoplasty Sep. 2020). The only thing that looks right are the sizes of my nostrils. My question(s) are will my nose be flexible, when the implant is taken out and my cartilage is used? When cartilage is added will the tip of the nose be contoured?

Gianfranco Frojo, MD · Answer

I would recommend removal of the implant and using rib cartilage/diced cartilage/fascia to create a more proper contour based on the results you are seeking. I would recommend finding a surgeon certified by the American Board of Plastic Surgery with experience in complex rhinoplasty issues. This surgeon ideally has also completed a fellowship accredited by the Aesthetic Society.

Eric M. Joseph, MD · Answer

Based on your profile photo you appear to have a pollybeak. This is when the bridge of the nose protrudes from the face further than the nasal tip. It is not clear whether or not this is where your implant lays. To best answer your question, please consult with several reputable rhinoplasty specialist so you could see how best to move forward. Thank you for your question. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you would benefit from a revision rhinoplasty with complete removal of the silicone implant, and dorsal hump reduction, slight tip elevation, and tip refinement. The long-term result would be a softer, less stiff tip as well. 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

Wanting revision rhinoplasty. Will my nose be flexible when the implant is taken out and my cartilage is used? (Photo)

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