Consider steroid shots and tape

Steven H. Dayan, MD answers: Is my nose tip too round following rhinoplasty?

I had Rhinoplasty done four months ago, and I feel that the end or tip of my nose from profile view looks a little round. Also, there are two lines on each side of my nostrils that don't look too great. I'm more concerned about the rounded tip, though. I'm thinking about having another Rhinoplasty done, as I've heard most of the swelling has gone down by now and the final shape will be set. Could someone please give me some advice on how my nose looks and if I should go through another surgery?


Steven H. Dayan, MD
6 months ago
By Steven H. Dayan, MD - Chicago Facial Plastic Surgeon

Hi Cupcake,

Four months is too early to be considering a revision for the tip. It will continue to go down. I continue to be amazed by how much the tip goes down over time. I would give it at least 7 to 8 months if it was done closed and 1 year if done open before considering a revision.

However, some tips to help it go down include asking your physician if Kenalog (steroid) shots would be helpful. An injection of 0.1 to 0.2 cc of 10mg/cc of Kenalog can help to reduce tip edema and is espcially  effective if you tape your  nasal tip with paper tape at night for up to one month after the injection. Some physicians advocate a low sodium diet but I am not sure that I have seen this make a difference. Certainly sunscreen is important. Too much sun will lead to more swelling and this can significanlty impede the tip swelling from resolving.

I hope this helps.

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More answers to “Is my nose tip too round following rhinoplasty?”

A: Caution with nasal revision is best

Peter E. Johnson, MD
10 months ago
By Peter E. Johnson, MD - Chicago Plastic Surgeon

Your picture shows a result that is quite nice and I am certain that the tip of the nose is still stiff. You may not be completely sold on the result however four months is too soon to give final judgement.

Revision is possible at this time but I would urge caution. I see softening and refinement in most after a year or more.

You can discuss the healing process with your surgeon, and try computer simulation to help anticipate if your revision would be worth taking a chance with a good result.

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A: My nose tip is too round: Give it more time

Otto Joseph Placik, MD
10 months ago
By Otto Joseph Placik, MD - Chicago Plastic Surgeon

From your picture, it looks as if you are experiencing some normal swelling. Unless you are experiencing redness, drainage, etc, this may be expected from the surgery that was performed

However, it is best that you report this to your surgeon.

If it is of any consolation, we generally do not take any pictures until 6 months afer surgery.  This is a general indication of the amount of time it takes for us to assess the final result.

Furthermore, it is generally too early to even consider a revision. Give it some time and reevaluate your result at that time.

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