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Min S. Ahn, MD answers: Nose looks more bulbous and round after Rhinoplasty

I had an open rhinoplasty three weeks ago, and I'm concerned about the current results. My goal for the surgery was to remove the side and front humps around my eyes and raise the tip. While I'm very satisfied with my new profile, and the bone is much slimmer around my eyes, the bottom 2/3 of my nose seems much more bulbous, and my tip appears way rounder (maybe kind of droopy too) than even before the surgery. Can I expect this to adjust with time? Is this still swelling? I don't regret having had it done, but I just hate that after all this, I still feel self conscious about my nose. Thanks!


Min S. Ahn, MD
11 months ago

After open rhinoplasty, approximately 80% of the swelling resolves within the first two weeks. The remainder takes months to completely dissipate, particularly in the tip. If the fullness, however, is firm, it may represent scar formation under the skin (that would warrant a steroid injection at about this time) or the top of the septum that was not removed during surgery. Fullness above the tip is know as a pollybeak deformity and the most common cause of this is inadequate reduction of the septal cartilage that makes up the lower part of the bridge.

Hope this helps.

Best wishes,

Dr. Ahn

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