Many times in rhinoplasty it is not necessary to work on the entire nose. While a top surgeon with years of experience such as myself will go ahead and advise you as to what areas of the nose need to be worked on so you retain balance and harmony with the rest of the face, it is not always necessary to redo the entire nose. With limited tip work, especially nostril narrowing, there is a procedure called the Weir technique that provides for narrowing of the nostrils with no visible incision as the incisions can be made inside the nostrils. Sometimes additional work needs to be done on the tip such as refining it and perhaps changing its position by rotating it up or having it project further out. These are all things that can be addressed and discussed with your surgeon.

Posted by Jeffrey S. Epstein, MD, FACS