I had a Rhinoplasty done by an ENT Facial Plastic Surgeon a few years ago. The result ended in a Pinched Tip. Because of this I make noise while breathing, and this causes problems in sleep, and day to day life. All I wanted was a natural looking tip. I can take a Q tip and hold the nostrils out slightly, and the sound goes away. Needless to say, I am very disappointed in the outcome of my surgery. This has caused problems at home. Any suggestions?
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Rhinoplasty
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Featured Answer
2 UpVoted this answer
Correcting the "pinched" tip can be challenging because it is a sign of over cartilage resection and nasal destabilization from a closed rhinoplasty or nose job. Revision and correction is typically accomplished through an open rhinoplasty technique, septal cartilage graft harvest and reconstruction of the nasal tip cartilage with lateral crural strut grafts and a possible tip graft. If septal cartilage is not available from a previous septoplasty, ear or rib cartilage can be used in secondary rhinoplasty.
2 UpVoted this answer
I would consult with a board-certified plastic surgeon who is a member of the Rhinoplasty Society and specializes in rhinoplasty. Your postoperative result is not uncommon and it can be corrected with structural cartilage grafting. The sources of the cartilage are either from the remaining nasal septal cartilage, ear cartilage or rib cartilage. The type of grafts are referred to as spreader grafts or alar batten grafts or lateral crural strut grafts. Various other grafts may also need to be used during your procedure. Best of luck in your endeavors.
1 UpVoted this answer
Hi and thank you for contacting us. If you would, please call our office so we can set up a consultation for you with Dr. Metzinger. He can take a look at your nose and make the best recommendation in terms of how to proceed from here.
Our office number is: 504-309-7061.
Thanks!
Liana
Our office number is: 504-309-7061.
Thanks!
Liana
1 UpVoted this answer
Rhinoplasty is a very delicate operation with a fine balance between the cartilage and soft tissues removed by the surgeon and those left behind. The remaining cartilage must be robust enough to support the soft tissues, but thin and pliable enough to give a refined appearance to the nose and nasal tip. A pinched nasal tip can result from a variety of factors, but usually over-resection of tissues. A pinched middle third of the nose results in collapse of the internal nasal valves, causing airway obstruction and difficulty breathing through the nose.
A thorough evaluation by a board certified Plastic Surgeon is necessary to delineate the underlying causes of your problems, then develop an expert plan to correct the problems. Cartilage grafting is usually necessary, and can often be harvested from the nasal septum or ears.
A thorough evaluation by a board certified Plastic Surgeon is necessary to delineate the underlying causes of your problems, then develop an expert plan to correct the problems. Cartilage grafting is usually necessary, and can often be harvested from the nasal septum or ears.
1 UpVoted this answer
Hello, what you are describing is an unfortunate sequala of rhinoplasty. It sounds like a little too much cartilage was removed. Nationwide there is about a 20% revision rate. Cartilage Grafts can be added to improve the appearance and may improve your breathing. A full evaluation is needed since the results are also dependent on the thickness or thinness of your skin, and the amount of scar tissue inside your nose. Best of luck to you.
1 UpVoted this answer
Almost certainly, you will need a revision of your tip with cartilage grafting to support the area that is collapsing and causing you breathing problems. These procedures are technical but usually give very good results. Make sure you see someone who is comfortable with revision rhinoplasty surgery.
Best of luck.
Best of luck.
1 UpVoted this answer
The problem that you describe are usually caused by excessive removal of cartilage from the nasal tip area...You should consult a plastic surgeon that performs revision rhinoplasties regularly so he can properly evaluate your problem and give you more concrete plan of action.
1 UpVoted this answer
You need to discuss the revision with your surgeon and ask if she does many revisions. It may take cartilage grafting but that is a decision to be made after examination. Find a surgeon with lots of revision experience. Regarding the problems at home you may want to take your spouse to the consult or if easier do this without his help if he is not supportivve. Good luck and know this is fixable.
1 UpVoted this answer
You need to be evaluated a reputable Plastic Surgeon who specializes in rhinoplasty surgeries. Your problem most likely can be corrected through the use of structural cartilage grafting to re establish support of your nasal structures. Discuss your problem and options thoroughly with your surgeon