This nose was missing some of its middle section, along the dorsum.
I reconstructed it by placing an artificial material in the
There are many materials that can be used successfully to build up part of
the nose. Some of the materials are natural (the patient's own bone or
cartilage, stolen from another part of the body), and some are artificial.
I generally prefer the artificial materials, at least today, for several
reasons. One of the most important reasons is that a soft, artificial
material can sit in the nose without showing a sharp edge or corner.
Smoother materials can make the nose look more natural.
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Do I need a revision rhinoplasty?
I like everything about my new nose but the tip. Im 20 months post op and I'm not thrilled about the tip. It's very round and sort of droopy. Especially in pictures. At my last follow up, my doctor acknowledged that the skin underneath the nose was a little loose but even with the new procedure, there's a chance it'll still look the same way it does now. He claims there's no way to get rid of the skin. Thoughts?
(Questioner submitted photos)
Dr. Denenberg's answer: It doesn't look like loose skin to me.
I have to say, I've never seen a case where drooping at the bottom of the nose there is loose skin hanging down. It's either cartilage or scar tissue.
This far after surgery, if the nose is still too big, you're looking at a revision. There are a couple of pieces of good news for you, though. It appears, from these photos, that the size is the result of strong cartilages under the skin, and a revision where reduction in size is the goal is more predictable than some other changes we try to make.
I would try to elevate the entire tip of your nose -- that's key -- narrow the tip, bring the whole nose back closer to the face, lower the bridge to match the new position of the tip.
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