2 years post revision rhino with rib cartilage, but I feel that my nasal tip is bulbous and uneven. Can this be fixed? (Photo)

Question

Are there any non surgical options for me or is surgery the way to go to fix this ?

Donald Groves, MD · Answer

Hello and thank you for your question and pictures. You actually have a very difficult problem to correct- a bulbous, uneven, and asymmetric tip after multiple prior surgeries! Unfortunately, a minimal procedure or revision surgery "just to the tip" will not be able to fix your issues- any surgeon that tells you otherwise is either inexperienced or is intentionally doing you a huge disservice. A revision rhinoplasty can best address your aesthetic concerns and any functional issues with your nose. I would be able to release all the scar tissue present, then adjust the size, shape, and especially the definition of your nose (particularly the tip). I'd also be able to open up and solidly reinforce the underlying structural framework of your nose (to prevent distortion and retraction from scarring forces over time)!

Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually).

If you are unhappy with the appearance of your nose, I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Ali Sajjadian, MD, FACS · Answer

Thanks SamiiF for your question! After a revision rhinoplasty, it's normal to feel let down if the results you were hoping for haven't materialized. Particularly after prior procedures, a bulbous and uneven nasal tip might be a typical problem. It’s impossible to be accurate with regards of diagnosis and treatment without at least some pictures of your preoperative pictures.
A revision rhinoplasty is one possible approach, but there are no non-surgical ways to drastically change the anatomy of your nose. By addressing any abnormalities and refining the nose tip, this surgery can enhance overall balance.
Various strategies may be used in revision rhinoplasty procedures, contingent on the patient's particular requirements. In certain instances, the surgeon could only alter the bone and cartilage that are already there. In some situations, though, more cartilage transplants could be required to give the nasal tip stability or volume.   
It is important to consult with a qualified plastic surgeon to discuss the specific techniques that would be most appropriate for your individual case. They will be able to explain the risks and benefits of each approach and help you make an informed decision.
As a triple Board-Certified Plastic Surgeon and experienced rhinoplasty surgeon, I specialize in revision rhinoplasty. This complex procedure requires meticulous attention to detail and a deep understanding of facial and nasal anatomy. I am committed to correcting imperfections and restoring both the form and function of the nose. My philosophy is to listen carefully to the goals and desirers of my patients with a focus on patient satisfaction, I utilize advanced techniques to achieve natural-looking and long-lasting results.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian 
TRIPLE Board Certified Plastic Surgeon

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

Eric M. Joseph, MD · Answer

We can see that you have nostril and tip asymmetry on front view, and there is an appearance of a small nasal bump on your profile view. Depending on your examination, microdroplet Silikon-1000 injections may be considered for improving upon your nasal tip symmetry and for improving upon your nasal profile appearance. This would not lead to a narrower nasal appearance, just a more symmetrical one. I hope this helps! Sincerely, Dr Joseph

Jeffrey H. Spiegel, MD · Answer

Hello,
Yes - this needs to be revised. We need to address the cartilage and smooth the areas. It can be done in surgery but shouldn't take very long.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining revision rhinoplasty and dorsal hump reduction. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. Tensioning the tip will also be helpful. 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

2 years post revision rhino with rib cartilage, but I feel that my nasal tip is bulbous and uneven. Can this be fixed? (Photo)

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