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Facial Plast Surg
DOI: 10.1055/a-2761-1991
Original Article

Management of Nasal Tip Deformities in Revision Rhinoplasty

Authors

  • Arianna Ramirez

    1   Department of Otolaryngology, University of Texas Medical Branch, Galveston, Texas, United States

  • Caitlin Coviello

    2   Department of Otolaryngology-Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas, United States
    3   University of Texas Medical Branch, Galveston, Texas, United States

  • Edward Farrior

    4   Private Practice, Farrior Facial Plastic Surgery, Tampa, Florida, United States

  • Angela Sturm

    5   Private Practice, PLCC, Bellaire, Texas, United States
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Abstract

Aim and Background

Revision or secondary rhinoplasty involving the nasal tip is challenging due to distorted anatomy, scarring, and compromised tip support. This article presents a framework for surgical approach and decision-making in secondary rhinoplasty.

Historical Aspects

Contemporary principles emphasize stability, conservative cartilage handling, and restoring native architecture.

Anatomy

The nasal tip depends on the soft-tissue envelope and lower lateral crura, whose relationship with the septum determines projection, rotation, and contour.

Technology

High-resolution photography, endoscopy, and improved grafting materials enhance the diagnosis and correction of nasal tip deformities.

Patient Selection

Optimal patients should undergo in-depth assessment with special attention to skin thickness, previous complications, and unrealistic expectations.

Techniques

Structure and support of the tip cartilages are the foundation and critical for the appearance and longevity of your results. As part of building the structure and support, the lower lateral cartilages can be repositioned and reshaped to the ideal appearance. Further refining of the definition and contour then occurs, with management of the soft tissue envelope being part of the decision process throughout.

Postoperative Care

Scar modulation and protection of graft constructs are critical for long-term stability.

Current and Future Development

Regenerative therapies, advanced biomaterials, and minimally invasive contour solutions continue to evolve.

Conclusion and Clinical Relevance

A regimented, anatomy-driven approach provides consistent and durable outcomes in revision tip rhinoplasty.

Keywords

revision rhinoplasty - nasal tip - secondary rhinoplasty - soft-tissue management - tip rhinoplasty - tip support


Publication History

Received: 21 November 2025

Accepted: 02 December 2025

Accepted Manuscript online:
18 December 2025

Article published online:
29 December 2025

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