When it comes to rhinoplasty, waiting for the results can be nerve-wracking. It can be difficult to tell how the nose will look long term until the swelling from the procedure goes down. That can take up to a year. Nasal deformities are not uncommon after rhinoplasty unfortunately, but the good news is that many of them can be prevented with proper surgical techniques and good pre- and post-operative care. There are a number of different issues that can occur, however, and it pays to be aware of potential complications so you can discuss them with your facial plastic surgeon. If you have experienced complications from rhinoplasty already, then you will want to understand the problem as much as possible before you seek help from a revision rhinoplasty surgeon. One common issue that can occur following rhinoplasty (or even naturally) is known as the “Pinocchio” deformity or an overprojected tip. So how does this occur, and how can it be resolved?
An overprojected tip describes a nasal tip that is too prominent, extending too far out from the nose and causing a “Pinocchio” appearance. It is often more noticeable from the side, but it can affect the overall aesthetics of the nose from the front as well.
Causes of the Deformity
A “Pinocchio” nose can be natural or caused by a previous rhinoplasty. Sometimes, when a nasal hump is removed from the nose and the nasal tip is not addressed, the nasal tip can appear overprojected once the swelling from surgery has gone down. Other causes include natural overgrowth of the nasal tip cartilage or the nasal septum.
How Is It Fixed?
Overprojection can be addressed with rhinoplasty or revision rhinoplasty by a qualified facial plastic surgeon. There are a number of techniques that can be used to address the issue, including pulling down the nasal tip by removing cartilage in the center of the nose or adding tissue to the nasal bridge to decrease the slope of the nose. You and your surgeon will determine which techniques are most appropriate in your case. Digital imaging can help give you an idea of what to expect following surgery.
Your Rhinoplasty Consultations
If you are seeking primary rhinoplasty for this issue, then use your valuable consultation time to ask specific questions about the procedure and get to know potential surgeons. You will discuss your candidacy, rhinoplasty goals, and have a chance to voice any concerns you have about the procedure. It is important to choose a scrupulous doctor who cares about your results, will give you guidance throughout the healing process, and is willing to help with complications that might arise. Being cautious and taking the time to find the surgeon who is right for you will help you avoid complications and the need for a revision surgery.
If you are getting ready for consultations for revision surgery concerning an overprojected tip, you will want to make sure the surgeons you are consulting with are experienced and demonstrate skills in secondary nasal surgery, as many surgeons are comfortable doing primary rhinoplasty, but not revision surgery. Preparation for revision consultations is much the same as for primary surgery consultations, but seeking revision surgery can be a bit scary as the difficulty of the procedure is increased, and more is at stake.
Whether you are seeking primary or revision rhinoplasty, remember to find a surgeon who makes you feel comfortable!
Choosing a Surgeon
Because rhinoplasty and especially revision rhinoplasty are so complex, your surgeon’s skill is of utmost importance. You should be extremely careful when choosing your surgeon, as you will be putting a great deal of trust into his or her abilities. It is best to choose a dedicated facial plastic surgeon who has many years of experience and a passion for the art and science of rhinoplasty. Make sure you take a look at potential surgeons’ examples of past work, credentials, and any other information you can find before scheduling your consultations.
When you are ready to start meeting with potential surgeons, consider setting up an appointment with acclaimed rhinoplasty specialist Dr. Stuart Bentkover. Dr. Bentkover is renowned for his work in rhinoplasty and revision rhinoplasty, and has been honing his skills for over 20 years. To schedule a consultation with Dr. Bentkover, call Bentkover Facial Plastic Surgery in Worcester (508-363-6500) or Stoneham (617-247-0033), Massachusetts.