Tippoplasty

Nasal tip rhinoplasty refers to the shape and size of the bottom third of the nose, known as the nasal tip. A more conservative nasal tip rhinoplasty approach can permit correction only of the region of the nose that is a perceived concern. Refinement of the nasal tip, known as a tip-plasty, can change the appearance of an individual in subtle yet profoundly dramatic ways. Raising the angle of the nose gently, refining the width of the nose without overly doing so, and reducing some of the fullness of the nose are common objectives of this kind of nose reshaping.

Tip-plasty is aimed at changing the shape of the nasal tip to improve the appearance of the nose. A tip-plasty may be performed to reduce a large, square or bulbous nasal tip, to treat an upturned or sagging nasal tip, or just to refine the tip of the nose.

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*Results may vary

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*Results may vary

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*Results may vary

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*Results may vary

Tip-plasty is one of the most challenging aspects of nose surgery as disruption of the cartilage that supports the tip of the nose can cause the tip to collapse, rotate or lose projection.

The surgery includes realignment of alar cartilage by resection and suture, fibroareolar and subcutaneous tissue resection, tip graft, and columellar strut. The nasal tip is positioned high and elegant, methods such as cartilage suture, cartilage grafting and blocking up the nasal septum etc. are opted as decided by the surgeon. The ideal shape can be achieved only if the nose has the adequate length. Therefore, the operation of embedding the supporting platform is often included. The tips of nose are made high and straight by suturing cartilage, performing cartilage grafting on sutural cartilage or embedding allroderm. In order to support the structure, the process of embedding nasal septum is very important. The embedding of nasal septum can also optimize the angle shaped by lips and tips of nose, and enhance the effect of nose augmentation operation.

A round or bulbous nasal tip, is due to a well-developed and large cartilage at the nasal tip. This cartilage widens the tip of the nose and makes it less defined. This is corrected through a tip-plasty procedure that excises the excess cartilage at the tip of the nose to narrow it down and give it more definition. Tip-plasty also increases the projection of the nasal tip, something much needed in an Asian nose which is usually deficient in height at the nasal tip.

Question:
I’ve heard that tip plasty is very complicated because there are so many intricate things in the tip of the nose, is this true?

Answer:
Rhinoplasty is a complicated and intricate operation, it is true! The tip is one part of the rhinoplasty that can contribute to this.

One of the things that makesrhinoplasty an intricate and complicated procedure is the many variables. For instance, the tip cartilages of each patient may have different length, strength and shape, different curvatures, unique asymmetries, and so forth. The nasal bones of each patient may be of different lengths and thickness, and of different orientation. The skin thickness differs between patients. The upper cartilages of the nose may also vary. Other variables also exist.

Changing any aspect of the nasal anatomy can have a complex and cascading effect on other aspects of the nose. Rhinoplasty surgery is an art and a science. Like a chess master understanding the complex interactions of the pieces on a chess board, the surgeon must be able to understand the complex interactions of each patient’s nasal anatomy. Therefore, knowledge, experience and technical ability are important traits for a rhinoplasty surgeon.

Preparation&Consultation
  • You can start by downloading the medical form here.
  • Our team is always ready to help you prepare yourself for the procedure. It is an easy step to e-mail us your information. We will have our medical team evaluate your case if you are a good candidate to visit us in Thailand.
  • To be safe for the operation, please inform us if there are any allergies or serious medical conditions. Also please inform us all medication that you are currently taking.
  • Inform us your arrival dates, we will arrange the consultation appointment for you.
  • Please contact us if you need any pick up on your arrival at the airport. We can help you reserve the hotel room and other arrangements if necessary.
Consultation is without charges.
  • Post-Operative Care
  • Cold Pack is advised to softly compress for the first few days.
  • All post-operative aftercare of a correction, if required, is provided without cost.
  • There is no restriction diet.
  • No smoking and drinking at least 5 days after the surgery.
  • The patient must sleep head high with face upward 45 to 90 degrees during the night. Extra pillows are advised.
  • Aware of your nasal hygiene. Clean your nostrils few times a day with Q-tips dripping with clean water or saline.
  • Bruising and swelling will subside within 2 weeks. 4 to 6 weeks are the duration you can go back to your routine life without being noticed.

*Recovery times / Results can vary depending on individual

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