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Secondary Rhinoplasty

Secondary Rhinoplasty, Building the Nasal Dorsum and Rotating the Tip Downward

Secondary Rhinoplasty

Rhinoplasty procedures are common procedures in the United States. Occasionally after rhinoplasty procedures, the position of the nasal tip or columellar-labial angle can inadvertently increase. This can often create a nose that is too up-turned on profile view. Patients often will state that they dislike the way the inside of the nose can be seen on frontal view.

Correcting the position of the nasal tip requires placing cartilage or restoring previous anatomy to de-rotate the nasal tip or rotate the nasal tip downward. This is often a challenge as scar tends to rotate the nasal tip upward. Therefore, cartilage often needs to be used from another part of the body to create structure to the nose. The most common places for Plastic & Reconstructive surgeons to gather cartilage is from the ear or the rib. The rib cartilage tends to be strong and sturdy to provide support while ear cartilage often has appropriate natural curves or bends to create gentle curvature to the nose.

Secondary Rhinoplasty



Author Info

Brian Dickinson

Dr. Dickinson is a Board Certified Plastic & Reconstructive Surgeon operating out of Newport Beach, California. He believes that the reconstructive and aesthetic surgical principles appropriately complement each other and share's his techniques and advice freely.