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I Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result? (photo)

asked 6 months ago by Joany123
Latest answer by William F. DeLuca Jr, MD
Question viewed 680 times
Tags: dorsal hump, 6 months post-op, expectation, final result, unhappy

I had closed rhinoplasty 6 months ago to remove a dorsal hump (see photo) by rasping top and sides. I'm very unhappy with the results so far as my dorsal hump is still showing. What kind of changes should I still expect? Am I stuck with this hump or will it absorb? Also does the area above the tip still look swollen? I would appreciate any advice, as I'm very depressed about my surgery results. My surgeons knows my concerns but he's just protecting his work. I'd like another opinion please.

19 answers to I Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result? (photo)

6 Month Result after Closed Rhinoplasty

You do have significant improvement compared to your pre-op appearance, but I do understand your concerns. Although you will wit another 3-6 months I do feel you will have a slight residual hump and a small polly beak which will necessitate a revision. Minimal refinement will give you an excellent result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Unhappy with rhinoplasty result 6 months after surgery

At 6 months, your results from a closed rhinoplasty are pretty stable. Based on your photos, revision certainly seems necessary to improve the result and address your concerns. In a secondary case I would do it in an open fashion with a general take down of the dorsum, particularly to deal with the step off at the proximal third of the dorsum. The tip needs to be elevated slightly to improve the angel between your lip and columella and also you need a better transition... more

William F. DeLuca Jr, MD
Albany Plastic Surgeon

www.delucaplasticsurgery.com

I Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result?

You may be nearing the final results at 6 months post Rhinoplasty but you may want to ask your Rhinoplasty Surgeon these questions. Since no front view was included, it's difficult to see if residual tip swelling exists or if there is an open roof deformity (dorsal hump rasped down without osteotomies to break the nasal bones inward). From the photos, there appears to be some residual dorsal bone above and dorsal cartilage below a centrally placed indentation. The... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty revision.

You should discuss the result with your surgeon since I don't know what was said before surgery. Your result won't change much and I'm guessing you will need a revision. See an experienced revision rhinoplasty surgeon for a second opinion before proceeding.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Unhappy with rhinoplasty results

I believe that your result may be improved. I would recommend you wait at least 1 year after the original surgery before doing a revision. This will allow for the majority of edema to resolve. Donald R. Nunn MD Atlanta Plastic Surgeon.

Donald Nunn, MD, DDS
Atlanta Plastic Surgeon

I Had Closed Rhinoplasty 6 Months Ago- Unhappy With Results. What Can I Expect From Final Result? (photo)

Agree you will need a revision and 6 months is the minimum time to wait but I recommend at least 2 to 4 more months.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty revision

When I assess patients for dorsal hump removal before surgery I measure the amount in millimeters to remove and how much of the hump is cartilage vs. bone. Sometimes it's 50:50 other times it more cartilage or bone. The reason is because I need to know how much to remove at surgery and the bone responds better to rasping or filing than the cartilage. I cut the required amount of cartilage off and then extend this upward to get the required amount of bone out. Your before photo shows the... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Rhinoplasty, Nose syrgery

By this time, 6 months after rhinoplasty, your swelling has subsided and more drastic improvement should not be expected. Even though your dorsal hump is moderately reduced, there is room to have more reduction, and to achieve more balanced profile. This is not a very difficult procedure and more pleasing result could be achieved with relatively short period of recovery time.

Fereydoon S. Mahjouri, MD
Minneapolis Plastic Surgeon

Irregular Nasal Dorsum after Closed Rhinoplasty

Dear Rhinoplasty Patient, I reviewed your nasal profile pictures and it appears that there is insufficient dorsal reduction. The cartilaginous portion of nasal septum at supratip area is still high and there remains some excess bony nasal bone on top. This has created a dorsal irregularity and dip in the middle of your nose. Your may want to wait another six months and have a revision rhinoplasty. I recommend an open rhinoplasty to correct this problem. Just in case you’re hesitant... more

Kevin Sadati, DO
Orange County Facial Plastic Surgeon

www.galleryofcosmeticsurgery.com

Rhinoplasty

If you are unhappy with your results, I would give it another six months before considering a rhinoplasty. Certainly improving the profile is possible, and you may want to address the tip as well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Incomplete Rhinoplasty Results

What you are seeing now is essentially the final result. You have an incompletely reduced nasal dorsum with irregularities and a too full (high) supratip area. This is partially the result of the closed technique but may also represent differing objectives between you and your surgeon. You needed a more aggressive hump removal and it appears that the lower end of the septal height has not been reduced at all. Your rhinoplasty result shows an effort that is not enough... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Unsatisfactory results after closed rhinoplasty--what to do.

At 6 months post-op, most (but not all) of your swelling has resolved, scar tissue softened, and sensation and circulation recovered. Based on your photos, you have: Inadequately-reduced nasal bones, at least with relation to the slightly-more reduced upper lateral cartilages, causing the visible protrusion at the osseocartilagenous junction, and the lack of a smooth nasal profile. This may require osteotomies if an "open-roof" deformity results from additional dorsal... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Interum rhinoplasty results

Based on the images submitted it appears as if the answer is a maybe. At 6 months there is likely bony callus and some supratip edema present. I have seem both improve between 6 and 12 months. I have also seen it not improve. I would personally recommend waiting and comparing photos with your doctor between now and 3-6 months from now. If no change then revise, if some hangs then wait. 2 things worth noting: 1- if a revision is needed, it's relatively... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

A well-performed Injectable Filler procedure may be used to improve the indentation in your nose after Rhinoplasty Surgery.

I read your concerns and reviewed your photos: You have an indentation in your mid-bridge which will not likely improve much with time. It's the site where your bridge was the most prominent. If you're looking for a smaller, cuter nose, you may want to consider consulting several revision rhinoplasty specialists for their opinions. The indentation on your bridge has an "operated" appearance, but you have a non-surgical option to improve this. A well-performed... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Residual dorsal bump

I expect at 6 months that the remaining bump, and the general under-reduction of the dorsum of your nose will not change much. You need to wait the full year and then re-discuss your options with your surgeon. Generally speaking an open revision approach will give more control over the relation between the height of your tip and the height of your dorsum (that is, your side profile).

Douglas J. Kibblewhite, MD
Vancouver Facial Plastic Surgeon

6 months post rhinoplasty

It is 6 months out, and you still have more healing to go. I usually recommend waiting a year for full healing to occur, before considering any revision procedures to allow all blood supply to normalize to the nose. It looks like the dorsum of the nose could have been taken down further. Commenting on the tip is difficult as you did not give a front view. I would either return to your surgeon for further discussion or consider a second opinion.

Rick Rosen, MD
Norwalk Plastic Surgeon

The nasal bone will not change

Your results are the final result. The common complain about tip swelling is different than your complain. You may benefit from revision to reduce the dorsal hump and I would recommend open rhinoplasty. You may try filler as a temperay solution to make the dorsum smoother.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Unhappy with Nose Job Result

I ASSUME that you and your surgeon agreed before surgery on how your nose would generally look after the surgery. This would the have generated a discussion on what surgical maneouvers would need to be done to generate that look. You did not provide frontal nor "worm's eye" view which have provided more information but from the images you provided it appears - your nasal bones were not sufficiently reduced in height - the depression in the mid nose probably correlates... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Rhinoplasty result

It looks like not much was done. The dorsum is a bit irregular and probably not as low as you wanted. One issue might be however, in order to get the result you might have wanted you might actually need "more" done in order to maintain the tip position. Sometimes that sounds like a turnoff to patients. Return to you surgeon and be clear of what you want Hopefully he/she will want to help you further.