Bulbous Tip After Rhinoplasty

C. Spencer Cochran, MD answers: Why do I have bulbous tip so long after Rhinoplasty?

Why would my tip become bulbous so long after the Rhinoplasty surgery? My pre-op tip was fine and my post-op tip was fine for the first year or so. Could this be attributed to the normal aging process (I am age 30)? Could it have something to do with the fact that I gained about 10 pounds in the last 2 years? Could steroid injections help, or is it too late? Thank you.


C. Spencer Cochran, MD
4 months ago
By C. Spencer Cochran, MD - Dallas Facial Plastic Surgeon

Following rhinoplasty, the body heals by laying down scar tissue.  As scar tissue matures (over the first 12 months) it contracts. This contracture of scar tissue can distort both the skin the nasal framework.

When scar tissue contracts and pulls the nostril sidewalls inward (even very slightly as in your case) it can give the nose a bulbous appearance -- some patients describe this as having a "ball-like" tip. This can be corrected by supporting the nostril walls and/or nostril rims with cartilage grafts.

Speak to your surgeon or a rhinoplasty surgeon that specializes in revision rhinoplasty about your concerns.

Web reference: http://rhinoplasty-usa.com/html/meet-dr-cochran.html
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More answers to “Why do I have bulbous tip so long after Rhinoplasty?”

A: Hard to say, but

Scott E. Kasden, MD
4 months ago
By Scott E. Kasden, MD - Dallas Plastic Surgeon

There are several possibilities.  I didn't catch how long after surgery you are, but it seems like a significant time.  You may be experiencing scar tissue, or even the resolution of swelling from other areas around the tip making the tip more prominent.  I do not think aging or weight gain should have a significant impact on this area.

I think a visit to your ps would be in order.  A steroid injection may help, or may not help.

sek 

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