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-   Nose Surgery (Primary & Revision Rhinoplasty) (http://www.plasticsurgeryspot.com/nose-surgery-primary-revision-rhinoplasty/)
-   -   Bridge and Tip (http://www.plasticsurgeryspot.com/nose-surgery-primary-revision-rhinoplasty/1441-bridge-tip.html)

Amy 05-06-2010 10:40 AM

Bridge and Tip
 
Hey guys,

I had a consult with a doc a while ago and he mentioned to me that the tip will automatically lift up a bit, once the hump is removed. Is that correct?

I had never heard of that before, and logically, it seems like it would droop even more when the hump is removed, if anything...

Any input?

robyne00 05-06-2010 05:27 PM

Every case is individually dependent, however, that info seems flawed in my opinion.

Amy 05-09-2010 10:23 AM

Another doctor suggested adding a small cartilage graft on top of the bridge (area of bridge in between eyes), if I wanted minimal reduction of the hump. This way, the bridge would look straighter, with minimal bridge reduction necessary.


See Attached.

The reason this option was proposed, is because when my bridge is taken down, my tip looks long, and would have to be brought in (based on computer morphing). I want to steer clear of messing with the tip as much as possible, so my alternative was this graft option.

What are your thoughts? The red part is where the cartilage graft would be placed. At that time, there would still be the need to reduce the bridge, but not as much.

http://i889.photobucket.com/albums/a...ridgegraft.jpg

Amy 05-09-2010 10:40 AM

To Touch the Tip or Not To Touch The Tip
 
Ideally, I would have liked to remove my hump, and hoped that the rest of my nose would carry itself without ANY alteration.

The more I learn about how the operation is done, and how one thing effects the other, I'm beginning to think that minimizing the bulbous-ness of my nose is absolutely necessary if I want my bridge and tip to be in sync.

One surgeon I met, suggested reducing the bulbous-ness a tiny bit (though he explained not much can be done since my skin is thick), and lifting the tip a slight bit.

Another surgeon suggested reducing the bulbous-ness a tiny bit on one side (he explained one side is a bit more full than the other), and place a tip graft to give me a more defined tip.

Attached are some photos from different angles. What are your thoughts?

http://i889.photobucket.com/albums/a...Me00/noses.jpg

robyne00 05-09-2010 05:34 PM

I need a pic of your full face as well as a profile shot for a more accurate assessment, but from what you have presented, it looks like your root, dorsum, alar groove, ala, and tip are all compromised. :(

Inability to perform a good operation due to "thick skin" is a copout.

Amy 05-09-2010 11:52 PM

Haha. So in other words...I'm screwed! :D

The photos I put together are the most unflattering ones I could find, to give you an idea of my nose at its worst...under harsh lighting (sunlight)

I will PM you some full face photos to give you a better idea. I appreciate your feedback.

robyne00 05-10-2010 04:43 PM

Give me a day or so.

I am happy to provide you with honest opinions and personal feedback! :)

Amy 05-11-2010 11:12 AM

Quote:

Originally Posted by robyne00 (Post 6853)
Give me a day or so.

I am happy to provide you with honest opinions and personal feedback! :)

Thanks Robyne!

I have a consultation tomorrow morning. Can you try to get back to me tonight, so I can be prepared with questions tomorrow?

robyne00 05-11-2010 04:28 PM

Must be tomorrow or Thursday. Very busy with work, something they call life (ha!), as well as various events. :)

Mr. Z 05-11-2010 07:58 PM

Quote:

I had a consult with a doc a while ago and he mentioned to me that the tip will automatically lift up a bit, once the hump is removed. Is that correct?
I can't see how it would literally lift the tip. I'm assuming what he meant is the tip will appear lifted when the hump is removed. When the bridge is convex it gives the illusion that the tip droops.

I did a quick morph to demonstrate this-

http://plasticsurgeryspot.com/images...ridgemorph.jpg

Only the hump was taken down. This pic shows what was changed-

http://plasticsurgeryspot.com/images...ridgemorp2.jpg

See how much of an improvement it will make?


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