Are my desired rhinoplasty results obtainable without a premaxillary implant?

Q: More specifically I am wondering if my midface concavity can be corrected with rhinoplasty alone to stretch the skin and create a more proportionate nasolabial angle, and is the degree of my desired tip projection and rotation realistic?Thanks.

A: A septal extension graft in conjunction with extended spreader grafts would help to lengthen and counter-rotate your nose to create a more balanced nasolabial angle and greater tip projection.  The degree of counter-rotation and projection your photos you seek will likely require rib cartilage as it is a fairly dramatic change.

About Donald B. Yoo, M.D.

Dr. Yoo is a board-certified surgeon, fellowship trained in facial plastic surgery with extensive experience in cosmetic and reconstructive surgery. He specializes in rhinoplasty, revision rhinoplasty, facial rejuvenation surgery (including blepharoplasty and facelift), and Asian cosmetic surgery (including Asian rhinoplasty and Asian blepharoplasty/Asian eyelid surgery). His office is located at: 120 S Spalding Dr Suite 315, Beverly Hills, CA 90212, 310-275-2467.
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