Nasal tip re-correction depends on prior Rhinoplasty

Raffy Karamanoukian, MD answers: Can nose tip move to one side after rhinoplasty?

I am on 3,5 month after rhinoplasty (with straightening of nasal septum). Lately, the tip (started apx. from center of the nose) visibly moved to one side. Since sweelling still remains, I'm hopining that it's just asymmetrical come downs of it. Is there any possibility that it's a complication, and how often such things are observed in practice? I am going to visit the sergeon, but for some reasons your opinion is very important to me! Thank you very much in advnce.


Raffy Karamanoukian, MD
9 months ago

The key element of this discussion depends on the type of surgery you had performed during your rhinoplasty. There are many dedicated and expert rhinoplasty surgeons in Armenia and the type of surgery performed will determine the most common reasons for your postoperative nasal tip deviation.

If you had septal reset or a significantly deviated septum preoperatively, you may have experienced a condition known as septal memory or septal rebound, where the deviated septum resumes its preoperative deviation and contour after surgery.

If a graft was placed onto the nasal tip, the graft may have migrated.

If the nasal dome was manipulated, there is a small chance that the nasal tip may have succumbed to normal scarring to cause mild unilateral deviation.

In any case, experienced nasal surgeons, especially those in Beverly Hills and Santa Monica, wait about one year before undertaking revisional work.

 

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A: Nasal Tip Crooked After Rhinoplasty

Michael A. Persky, MD
12 months ago

Hi Jen,

Without examining your nose, seeing photographs, and knowing what your surgeon did to the tip of your nose, it is very difficult to answer your question accurately. You should revisit your surgeon for examination and explanation. You need to wait at least 6 to 12 months before having a revision surgery. Good luck and be well.

Dr. P

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A: it is rare but possible

Vladimir Grigoryants, MD
12 months ago

It is possible for a nose tip to move to one side after rhinoplasty.
It may happen if the surgeon performed unbalanced reshaping on right vs left side or less commonly due to scarring. A patient need to make sure that the surgeon performs rhinoplasty frequently and see his good and bad before and after pictures.

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