If the hanging columella is your concern, time will help but can be corrected

Hey Cupcakeceri,

It's often hard to sit on your hands and do nothing, but as you can tell from all the advice, most people would recommend being patient and letting things settle down. If we go beyond this early advice and think of what may be bothering you about the tip we notice 2 things. 

First let's start by saying that overall your nose looks very good for this early stage. The two things we notice are:

1. You look like you have a slender face, and the tip at this point still looks a little overprojected- sticks a little too far from face,
2. Part of the roundness we see on profile is because at this early stage you have a bit of a hanging columella - the middle wall between the nostrils is hanging down a bit.

With time you will likely see improvement in both of these things as the swelling settles and the columella settles back a bit.

If part of the roundness that bothers you is the way the columella is sitting you should see someone who can help resolve the problem with the hanging columella. In general, this is a relatively simple thing that can be done under a little sedation with little down time. If this is the issue, let us know and we can be more specific.

As for the projection, again time will help but if it doesn't balance your overall look, in time this can be corrected and there is no need to jump into this early as this can actually complicate any revision you get done.

All in all, you look great and time will resolve much of your concerns.

Warm Regards.

Hi CupCakeCeri,

The swelling and fullness of the nasal tip takes time to settle.  It appears that you are young and that your skin may be on the thicker, oilier side.  In young patients it may take a year or even two for your nasal tip to settle, and for your skin to thin. 

You should certainly wait for at least a year before considering a revision.  If the "unbalance" between your tip and upper 2/3 of your nose is driving you crazy, then you may consider having a small amount of temporary filler (Radiesse, Restylane, or Juvederm) placed.   By the time the filler disappears, it will likely be time to re-evaluate your nose. 

I think that you look great.  Happy holidays in London, one of the best places to be this time of year.  Be well and patient.

Dr. P

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Certainly a full six months at least need to elapse before considering any revisions.  And the aesthetic cost of revisions also must be calculated.  For example, further reduction of the tip may indeed reduce the size of the tip but can cause notching to the side of the tip, a "pinched look" that is a giveaway that surgery has been performed.

Your plastic surgeon can also discuss with you the role of the nose-chin relationship and how it affects perceived nasal size.  As plastic surgeons we do not like to suggest procedures to patients not complaining of them, but we must point out factors that affect facial harmony.

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At four months post-op, there is likely to still be some tip swelling after Rhinoplasty.  Because this is the most dependent (lowest) part of the nose, it takes longer for the lymphatic drainage of the nasal tip to return to normal.

Most surgeons would advise you to wait a full year before considering a revision, unless there is an obvious problem that is unlikely to resolve spontaneously with the passage of time.

Also, further refinement or narrowing of the nasal tip may make you perceive the bridge to be too wide: the "see-saw" effect.  Each rhinoplasty revision becomes progressively more difficult as well.

Trust your surgeon's judgement, and be patient.

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