Bulbous tip

Elan B. Singer, 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.


Elan B. Singer, MD
4 months ago

It's simply too hard to answer these questions online.  Rhinoplasty is a complicated procedure and both pre and postop pictures are necessary along with a complete examination and review of the operative report.  I suggest you see your original surgeon about your concerns.  If you are not satisfied with what he/she tells you then get a second opinion from another board-certified plastic surgeon who specializes in rhinoplasty.  Good luck!

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A: Bulbous tip after rhinoplasty

Nina S. Naidu, MD
4 months ago

Hi,

If your tip was initially good after surgery, it's likely that your body has put down some scar tissue which is making it look fuller.  A steroid injection probably won't make a significant difference at this time, as this works best when the scar tissue is actually in the process of forming (that is, within the first year after surgery).  I would recommend returning to your initial surgeon for an evaluation, bearing in mind that additional surgery may be advised.  Good luck.

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A: Bulbous tip

Steven Wallach, MD
4 months ago

The bulbous tip you are describing may be related to scar tissue development.  Bulbous tips can be due to several things: 1) the overlying thick skin envelope, and 2) the way the tip cartilages are shaped, and 3) scar tissue from previous surgery.  Usually #2 is easy to correct. Thick tissues are very difficult to thin without leaving unwanted depressions.  Sometimes the scar tissue can be removed as well, but it may be difficult.

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