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Swollen Nose

If your tip is wider post op it suggests some things to me: 1] You had perhaps a projected tip with fairly thin skin which may have been “sticking out” more than you liked and the tip projection was probably set back and (similar to lowering a tent pole causing the canvas of the tent to […]

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Revison Saddle Nose

One cm of dorsal and caudal septum left intact after septoplasty is borderline but would usually be adequate unless there is a fracture of the integrity of that “L” strut support. If you have not had the cup cartilage from your ears used for grafting already, it can be harvested without misshaping the ears and […]

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Proportionate Nose

A Strong nose on a small face is different than on a large face. It’s all relative in regard to balance of your features. I have male patients who are concerned about losing their “Authority” and it is a real concern and an overly reduced nose on a masculine face can be feminizing when that […]

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Overly Rotated Tip

Although the overly rotated tip is congenital in some people, all too often it is the consequence of the surgeon not recognizing that reducing the hump or bridge along with the standard procedure of trimming the upper edge of the wide tip cartilages results in loss of the support system that was keeping your nose […]

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Open vs closed

It is incorrect if a doctor tells you your strut can not be addressed with closed rhinoplasty. It is more likely that the doctor favors the open approach or has only been trained in open rhinoplasty. A tip strut can be readily approached with closed rhinoplasty which is through the same scar along the sides […]

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