This patient had silicone implant on the dorsum and tip surgery with septal and conchal cartilage. As time passes, the tip and supratip area dropped and a step deformity of the dorsum developed. You can see the short silicone implant on the dorsum from the X-ray and the subsequent step deformity on the preoperative lateral view in the middle. Silicone was replaced with autologous cartilage and tip ptosis was corrected with cartilage support. It is sometimes difficult to expect how much the tip projection will decrease as time passes, but with proper technique using autologous tissue, the margin of error should be within 10%.
My blog will explain easily the concept, techniques, result, complication, and considering points of rhinoplasty, Asian rhinoplasty, revision rhinoplasty, fucional rhinoplasty, and nasal reconstruction. As a rhinoplasty surgeon with more than 20 years of experience, I will try to help people who want useful and frank information on rhinoplasty.