Bulbous Nose Post-op - Risks for Revision?

I had a nose operation carried out four years ago to reduce a minor dorsal hump. I was very disappointed to see that after the operation the tip of my nose became larger and more bulbous than before the operation. I would therefore like to have another operation to refine the tip, however I'm truly a bit scared of having yet another operation. Is there a risk of my nose becoming even more bulbous after another operation? Does it take long for the swelling to go down?

Doctor Answers (5)

Bulbous tip after rhinoplasty

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In many situations the cause of the bulbous tip is loss of structural support of the tip as well as pre-existing thick skin - both of these can be addressed with a revision rhinoplasty

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 152 reviews

Bulbous, Full, Nasal Tip after Rhinoplasty

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After one year, your nose is healed to it's final shape.  From your picture, it seems like nothing was done to your nasal tip.  A tip rhinoplasty, using an open approach, is my recommendation.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon
4.5 out of 5 stars 11 reviews

Bulbous Nose Revision

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Your post-operative swelling is gone by now and you are seeing the result of changes and healing from your previous surgery.  A secondary tip rhinoplasty should be able to correct your concerns.  An open approach will allow precise changes that are quite predictable when done by an experienced surgeon.  You should not worry about an additional procedure, but do discuss your concerns with your doctor.

Randy J. Buckspan, MD
Austin Plastic Surgeon
5.0 out of 5 stars 6 reviews

Worsened tip bulbosity after rhinoplasty

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After four years you shouldn't have tissue swelling leading to any fullness of your tip. A few reasons your tip may look worse after surgery:

  • Inadequate skin redraping due to trapped blood below skin which lead to scar tissue
  • loss of tip support/projection which can lead to an ill-defined nasal tip

Revision rhinoplasty can address these issues. An examination would allow for a better assessment of what needs to be done.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.