Can nose tip move to one side after rhinoplasty?

I am on 3,5 month after rhinoplasty (with straightening of nasal septum). Lately, the tip (started apx. from center of the nose) visibly moved to one side. Since sweelling still remains, I'm hopining that it's just asymmetrical come downs of it. Is there any possibility that it's a complication, and how often such things are observed in practice? I am going to visit the sergeon, but for some reasons your opinion is very important to me! Thank you very much in advnce.

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9 answers to “Can nose tip move to one side after...”

A: Nasal tip re-correction depends on prior Rhinoplasty

Raffy Karamanoukian, MD

The key element of this discussion depends on the type of surgery you had performed during your rhinoplasty. There are many dedicated and expert rhinoplasty surgeons in Armenia and the type of surgery performed will determine the most common reasons for your postoperative nasal tip deviation. If you had septal... more

A: Shifting & migration of the nasal tip & bridge can occur during the healing phase

William Portuese, MD

There is occasionally some shifting and migration of the nasal tip and bridge during the healing phase. There is also asymmetrical swelling in almost every cosmetic rhinoplasty that is performed, and full evaluation of the nose is best done at one year after the original surgery. There is very little movement... more

A: Patience is still a virtue

Kenneth R. Francis, MD

Three months after a rhinoplasty is very early to critically evaluate your results regardless of the cause of your tip deviation. As you yourself mentioned, it may be differential swelling causing the appearance. At any rate, you really need to wait a full year for all of the scarring and swelling to... more

A: Nasal tip deviation may be related to the septal deviation

Jennifer Walden, MD

The nasal tip can indeed move slowly after surgery, especially if a very deviated septum is fixed at the same time. Even with the attempts made to straighten the midline septal cartilage of the nose, sometimes the bone that the caudal (or lower) part of the septum sits in remains crooked or the cartilage... more

A: Swelling or scar contracture can cause this

Toby G. Mayer, MD

It is too early to tell whether this is due to swelling or scar contracture to one side. Time will tell, but sometimes as the nose heals scarring can cause the nasal tip to go to one side or the other. Your doctor should be able to evaluate this at 1 year.

A: Nasal tip deviation can happen

Shahram Salemy, MD

This can certainly happen after surgery, and it may be due to a number of factors, including swelling, the surgical technique, or even how you healed after surgery. My advice would be to see how it looks after all of the swelling has resolved, and this may take a year or more. If you need to have a revision... more

A: Moving the nose tip is possible

Manish H. Shah, MD

Being that you are in the early postop phase, it would be difficult to tell if the asymmetry was from swelling or created anatomically at the time of surgery. For any asymmetries related to swelling I usually recommend a regimen of taping. If you are less than 4 weeks postop, asymmetries related to bone... more

A: Nasal Tip Crooked After Rhinoplasty

Michael A. Persky, MD

Hi Jen, Without examining your nose, seeing photographs, and knowing what your surgeon did to the tip of your nose, it is very difficult to answer your question accurately. You should revisit your surgeon for examination and explanation. You need to wait at least 6 to 12 months before having a revision... more

A: it is rare but possible

Vladimir Grigoryants, MD

It is possible for a nose tip to move to one side after rhinoplasty. It may happen if the surgeon performed unbalanced reshaping on right vs left side or less commonly due to scarring. A patient need to make sure that the surgeon performs rhinoplasty frequently and see his good and bad before and after pictures.

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