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Rhinoplasty & the Nasal Tip

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"A lovely woman checks her nose with a magnifying glass"

“Is my nose tip swollen?”

One of the areas that many rhinoplasty patients are hugely concern about is the nasal tip.

Sometimes after a nose job procedure, the nasal tip is unbalanced, pinched or even shows that too much surgery was done. And that quickly suggests to others the current nose is not the one born to the patient.

Some patients then ask to have rejuvenation surgery only on the nasal tip.

As in all other things nasal, the nose should look natural and not draw any attention to itself.

Some of the leading complaints include a particular nasal tip looking:

  • Bulb-like or just too fat
  • Bulky
  • Too round
  • Turned up (medically, a rotated tip,) often leading to the moniker “Miss Piggy”

(Read a patient letter  from a woman who had a nasal tip repaired in rhinoplasty,

signing herself,“ex-Miss Piggy.”)

It all matters because a small change in a nose can have a major impact on the rest of the face.

Some patients complain that for some months after a rhinoplasty, the nasal tip does not look natural. Usually, a skilled, experienced rhinoplasty surgeon will let the nose heal for a year before operating again. Why? The tip is the last part of the nose to take its final shape after nose surgery.

When a nasal tip has too much bulk, the rhinoplasty surgeon can make an incision inside a nostril and remove a tiny part of the cartilage while leaving its lining skin attached. Over time, that allows the tip to narrow.

But if the patient has thick skin, the surgeon performs what is medically known as a delivery technique which is a type of surgical bench surgery. Two incisions next to each other are made inside the nose and the cartilage brought forth, still attached to the tissues inside the nose.

Then, the surgeon makes the cartilage thinner and with less spring. Finally, the surgeon returns the now-smaller cartilage back to its former position inside the nose and closes the incisions.

Other nose surgeons use a technique known as “morselizing” which crushes the cartilage.

But the key to it all: the choice of nasal surgeon. He or she should be highly skilled and experienced with at least 10 years experience. You may be able to tell that from the surgeon’s website if the site has hundreds of before and after nasal surgery pictures of all types.


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