With the dorsum of the nose pushed in just above the tip, the tip looks
too prominent, isolated from its neighboring structures. After surgery,
the nose flows more gracefully from dorsum to tip, without the divot.
The artificial material I like to use is soft, like a cloth, so it doesn't
show any sharp edges as grafted cartilage could. Note the smooth, natural contour
of the bridge of his nose after surgery.
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I'm 17 and 4 months post rhinoplasty. My nose hasn't changed. Will I need more surgery?
I just want to ask u about my nose and my chin !! Do I need to do my nose next year ? And do I need a chin injection or a silicon ? I really don't like my nose I wanted to shorter !!
(Questioner submitted photos)
Dr. Denenberg's answer: Yes, unfortunately it looks like you'll need more surgery
Your nose is very long, and there's still the hump on the bridge. Although your nose will continue to change some, most of the changes have already happened, and the tip of your nose will not rise with further healing.
Making a significant elevation of the tip of the nose involves advanced techniques on the tip cartilages, and most plastic surgeons can't handle it adequately, especially in a revision. Before you select your doctor, you must see before and after revision photos to see if he can make changes like that. See the attached video and Web reference link for an example.
I love the example nose that you submitted, too. Seems to me that you require a rather dramatic elevation of the tip of your nose, and a take-down of the hump, among other less obvious changes.
Link to this question on RealSelf.com