During revision rhinoplasty, how are problems with the nasal tip fixed?
Revision rhinoplasty is, as I have answered before, one of the most complicated procedures in facial plastic surgery. Every good nose begins with a tip so it is essential that proper tip placement, projection, angulation from the face, and lastly shape and design is done first. A variety of techniques can be used for positioning the tip including the addition of cartilage grafts, suturing techniques, sculpting techniques, and even the use of Gore-Tex and other type implants which are used very occasionally. Once the tip is secured in place, and it is essential that the securing not be weak but rather strong, the rest of the nose can be lined up to fit in proportion with this tip. These are the reasons why most revision rhinoplasty surgeons will utilize the external technique so as to assure the most natural and stable results.
Posted by Jeffrey S. Epstein, MD, FACS