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Upturned/obtuse/piggy nose reassurance!!!

  • rhino90
  • Scandinavia, WI
  • 7 months ago

Okay guys and girls, so I've read A LOT of doctor's answers in here regarding the dreaded piggy look after a rhinoplasty! All the doctors reply it's too early to make judgements and you should wait 3-12 months due to swelling etc.. Whilst this is true, it just isn't comforting enough, so I'm gonna post some pictures of my tip drop progress!I'm not claiming the tip drops for EVERYONE, but it for sure seems to be uncommon that it doesn't.  Firstly, DON'T judge anything while your cast is still on. Many surgeons place the cast so the tip becomes EXTREMELY upturned - this is because the tip is provided with the most support this way!  Secondly, swelling IS a huge factor and it's a looooong proces. I feel that many surgeons use swelling as an excuse for pretty much anything though (but let's face it, some surgeons have made some shitty nose jobs and it's sometimes pretty clear to see that no amount of swelling, no matter how severe or uneven it may be, will go down and eventually reveal an attractive nose!) I am currently 3 weeks post up from my open rhinoplasty. I had the middle of my bridge smoothened out, tip deprojection, slight tip elevation (1-2 mm) and tip refinement. It sounds like a lot, but really it's all done in a modest way. Note that I actually had my tip raised  but even then it should drop in many cases!  I make an effort in trying to take the pictures with the same head angle, so this should be representative. It may be hard to tell that the tip has dropped from my 11 days post up picture to my 21 day post up, bust let me assure you, that while the drop is minuscule, it's there :D :D

Comments (10)

Hi Elle, I still haven't figured out about the photos :/ But I think photos at this stage would be pointless anyways, since VERY little has happened.. I see changes for sure, but ever so small. I've actually just got home from my doctor 30 min. ago, my appointment wasn't until early April, but I sent a looong mail about out my worries and telling him how much of a toll this has taken on me. I was fearing he would discard my worries and just say I al way too worried, need to relax etc. but he was very understanding and he said, that he could see my concerns. He said I al healing a tad slower than one could hope for, but nothing to be worried about. I still have so much edema and scar tissue in my supratip and columella, and he is sure it's obscuring how my nose looks and contributing to this upturned look. I asked him to predict my final nasolabial angle - he said it won't be more than 5 degrees higher than pre-op, which wouldn't put it higher than 100 degrees tops - maybe slightly higher than the ideal male aesthetics, but I know there is no perfect nose. And since I'm not a particularly tall guy I can tolerate a slightly higher nasolabial angle. He suggested small steroid injectictions to help break down scar tissue and help speed up the proces. But it takes a month to work and I need them every 3 months (don't know for how long). I am more hopeful and optimistic now than I have been in a long time. Oh, and it turns out he actually didn't perform a tip lift (!!). Thank God for that. But taken down a hump creates an optical illussion of a tip lift and narrowing the tip cartilages can actually create just the slightest upturn. So it seems that it's swelling and scar contracture, which is pulling my tip upwards. If I was you I would think twice about the tip lift. I really do HATE that look. I don't know where you're from, but I know many Americans like the cute upturned button nose. I can tell you that the Danish/Nordic/European ideal generally is a strong profile - men and women alike. But if you feel your nose is too masculine/droopy etc. go for the tip lift. I've read many rhinoplasty stories with satisfied men and women, who have had tip lifts. But prepare for weeks (or in my case months) of POTENTIALLY feeling like you don't look like yourself, look like a freak etc.
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Ooh this is really helpful it is definately smething ill discuss with my surg because i reaaally despise the upturned look so mayb its best i avoid any sort of lift whatsoever. It's scary how long that recovery time can be when you are stuck not knowing how the final result will look, did he say there may be any particular reason you experienced more than expected scar tissue and odema? I'm having a closed procedure so I'm hoping this reduces the chance of that but In general my body doesnt heal well or quickly, when i had my appendix out the tiny keyhole incision took almost 6 months to heal fully. Maybe Ill look into any supplements i can take prior...xxx
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Yes, discuss it with your surgeon.. But I think that if your tip is already somewhat low or droopy, reducing a dorsal hump will visually make it appear more droopy, so you may need it for an overall good outcome! No he just mentioned that people heal at different rates, I was on the slow side, but nothing to be worried about or unnormal. I personally think it's because I'm a very active person.. I started heavy weight lifting, running and spinning 2 weeks post up and I'm sure the increased pressure from the blood flow delays healing, but I need my training :) I think/hope you will experience slightly less swelling due to the closed procedure, but you will still have to wait months for the swelling to go down.. If you experience a lot of persistent swelling steroid injections do help a lot. I was told they would take up to s month to work, but my nose is already sooo much softer two days later... I can tell from real self that most surgeons don't recommend them until 2 months post up because swelling and scar tissue is the bodys natural reaction to trauma :)
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Oh and in terms of supplements, it seems that Arnica and Bromelain are mentioned the most.. I remember reading you have to start x amount of weeks (prob. 2 weeks prior to surgery) before surgery and continue no more than x amount of weeks post op.. there are risks of overdosing/poisoning if you don't stay within the recommended guidelines :-)
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Ahh thats so helpful! I'll see what he says re the tip, I made a big fuss about not wanting it to look upturned so Im sure ive made that clear enough ha! I shall definately try the Arnica supplements I bruise so badly!xx thanks for your comments have been helpful, hope the healingcontinues to go well x
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Hi there Your post is reaaaally helpful because this is literally my one main concern about the surgery and why I have waited so many years before finally having it done! Sounds like you had some very similar work to what I have scheduled - bridge smoothed, verrry very slight tip elevation and refinement! I'd really love to see photos - not sure if you've worked out how to do it yet! How are you feeling about it now? xxxx
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Well since I can't seem to upload more photos, let me write a comment. After feeling my tip had dropped since cast removal, I took a photo some days ago (around 5 weeks post op). I was horrified!! My nose looked more upturned than ever before. But the evening after it actually looked lower than it ever has ... I know it sounds crazy, but I really do believe, that post operative swelling plays a huge impact.. my swelling flunctuates a bit from day to day. My nose is still higher than I'm comfortable with, but I'm not as conscious about it anynore. I also personally think that my nose won't drop further until the tissue softens.. my columella is still rock hard, and the tip has become a bit more moveable but still very hard.. It moves a bit from side to side, but totally immobile in any upwards or downwards position.. Happy healing everyone.. Please comment on your own experiences :=)
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Little update: I'm at my two month mark and really feeling a difference in healing and starting to appreciate the results so far. In the past couple of weeks, from around week 5-8, my nose has become less hard, columella less numb, and because of that my nose has either settled or dropped, either way it looks much better now and less upturned..
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Hi there,

If you'd like to add more photos to your post I can help. Generally once a forum post is put on the site you can't add and subtract photos (like you can in a review – go here to start one if you haven't already), but I'd be happy to help you add additional pictures to this post since it's so helpful for others. :) PM me if you'd like to do this.
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Does anyone know how to upload more than one picture, is it not possible ??
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