Revision rhinoplasty: tip defining point

This case illustrates the importance of creating an appropriate tip defining point in Revision Rhinoplasty VIEW NOW

Revision rhinoplasty: hanging columella

The hanging columella can be treated in revision Rhinoplasty with Nasal Tip Deprojection and placement of a strong columellar strut graft to add tip support VIEW NOW

Straightening the crooked nose

Straightening the crooked nose is one of the most challenging things to do in all of rhinoplasty. Making sure that you see many real examples of this in your surgeons before & after gallery. VIEW NOW

Treatment of nostril asymmetry

Treatment of extreme nostril asymmetry can involve tip derotation and placement of extended alar contour grafts to improve nostril symmetry VIEW NOW

Revision rhinoplasty: drooping tip

Revision Rhinoplasty with tip elevation, treatment of alar retraction, tip deprojection, and tip refinement. VIEW NOW

Treatment of the drooping nasal tip

Treatment of the drooping Nasal Tip with poor tip support includes tip elevation and tip deprojection with anchoring to a robust columellar strut graft VIEW NOW

Revision rhinoplasty: over exposed nostrils

Treatment of the foreshortened overrotated nose with over exposed nostrils in Revision Rhinoplasty involves complete release of all the scar tissue and placement of extended spreader grafts to derotate the tip complex. VIEW NOW

Dangers of implants in the nose

Foreign body implants including silicone, gortex, medpor, and hardware are extremely dangerous in rhinoplasty due to the increased risk of infection, extrusion, malposition, and displeasing aesthetic results. VIEW NOW

Dangers of silicone implant in revision rhinoplasty

Silicone implants have an extremely high rate of complications in rhinoplasty including extraction, infection, malposition, and displeasing aesthetic results. VIEW NOW

Treating over projection of the tip

Nasal Tip Deprojection can be accomplished by excising 4 to 16mm of medial crural footplates and anchoring this to a robust a Columellar strut graft. VIEW NOW

Preventing tip droop when smiling

The key to preventing tip droop when smiling is adequate tip support. This can be performed using a Columellar strut graft. VIEW NOW

Revision rhinoplasty to treat bulbous and drooping tip

Revision Rhinoplasty with tip refinement, tip debulking, tip, elevation, and tip deprojection to result in a smaller nose. VIEW NOW

Drooping tip in rhinoplasty

This patient had a dorsal hump, drooping tip and an overprojected tip. She underwent tip refinement, tip elevation, tip deprojection, and dorsal hump reduction. VIEW NOW

Treatment of the hanging columella in revision rhinoplasty

Treating the hanging columella was accomplished with Nasal Tip Deprojection and strengthening the columella with a robust columellar strut graft in this revision Rhinoplasty VIEW NOW

Treatment of the drooping tip

This patient had a drooping tip with an over projected tip. She underwent tip elevation and Nasal Tip Deprojection with tip refinement. VIEW NOW