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This young woman's nose appeared to sit too close to her face. She had
inadequate projection. The goal of her operation was to bring the tip
of her nose farther out from her face.
Her nose has some of the appearance of a cleft lip nose, but her lip is
perfect: she was injured in a jungle gym accident. The nose is reminiscent
of a cleft lip nose because persons with that congenital deformity often have an
associated deformity of the nasal tip cartilages that causes the tip of the nose
to sit too close to the face.
The rhinoplasty surgery tutorial contains a chapter
that discusses the importance of tip projection and how it is maintained or
created surgically (the surgery tutorials contain explicit photographs taken during surgery).
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Questioner:
Is There Hope for Another Revision Rhinoplasty?
I had a revision rhinoplasty to fix my deviated septum. I wanted to keep the shape and size and only fix the deviation. A graft was placed (not from my body) but I was surprised that now my nose appears to have bad scar tissue, resulting in a "no shape" and bulbous nose. Could another revision fix my nose, for the last time? Or, will scar tissue keep forming? Can my nose be slimmed and defined? I live in Saudi, but I'm considering a revision in the states. Is there any surgeon you recommend?
(Questioner submitted photos)
Dr. Denenberg's answer: Removing scar tissue to give definition to the nose can be difficult
While it's true that some scar tissue will always form after any operation, the question is whether your scar tissue can be carved enough to give a meaningful improvement despite the new scar that can form. Sometimes the cartilages can still be modified to help with narrowing and defining, or adjusting or removing the graft could help. Could you post larger photos, taken from many angles, and also let us know where the graft sits? That would help.
Link to this question on RealSelf.com
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