C. Spencer Cochran, MD

Most rhinoplasty specialists would wait for 12 months before proceeding with any revision. The reason for this is that it can take 12 months (or longer) for the majority of the post-operative swelling to subside and for scar tissue to mature. There are certain circumstances in which patients could undergo surgery sooner than 12 months -- this is something that needs to be addressed on an individual basis.

It is early to be making final judgements on your surgical results, but when analyzing your nose from the side there are two things that are making the tip appear "too round".  First, the area between your nostrils (called the columella)  and the area just below the most anterior portion of your tip (called the infratip lobule) are too pronounced.  Some doctors refer to this as a hanging columella and an accentuated double break.  Secondly, there is no differentiation between your bridgeline and your tip (called a supratip break). By reshaping this area, the vertical height of the tip is decreased and the roundness is corrected.

Only you can make the determination whether you are satisfied with your result. Sometimes, having a consultation with one or more revision rhinoplasty specialists can give you a better idea of how your nose might look with additional surgery. Recently, 3D computer imaging has become available that allows patients to see how their nose might look after surgery - even revision surgery.