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.
Three months after a rhinoplasty is very early to critically evaluate your results regardless of the cause of your tip deviation. As you yourself mentioned, it may be differential swelling causing the appearance. At any rate, you really need to wait a full year for all of the scarring and swelling to subside before a revisionary procedure can be done.
The nasal tip can indeed move slowly after surgery, especially if a very deviated septum is fixed at the same time. Even with the attempts made to straighten the midline septal cartilage of the nose, sometimes the bone that the caudal (or lower) part of the septum sits in remains crooked or the cartilage itself can shift. This area,called the anterior nasal spine needs to be straightened along with the caudal septum during septoplasty. There are other things that can lead to the tip looking asymmetric such as a shifted strut graft, but by your description I wouldn't be surprised if you had a persistent deviation at the base of the nose where I described.
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