Do I need a revision Rhinoplasty?

I had a closed Rhinoplasty nearly 4 months ago. I have noticed that the swelling has gone from the bridge, but the tip doesnt seem to have gone down as much. I feel that the tip of my nose from the side now looks too big for the top part which has gone down, making my nose look unbalanced. By four months, I feel most of the swelling should have gone in the bridge and tip. Should i think about a revision?

Do I need a revision Rhinoplasty?
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13 answers to “Do I need a revision Rhinoplasty?”

A: Agree with the above

Benjamin C. Marcus, MD

Absolutely too soon to tell. I do up to 150 noses a year and every single patients wonders if they are healed at 3-4 months. Looking at photos over time I can assure them (and you) that you have at least 30% of your healing to go. So, be patient and its likely you will have a great result.

A: Be patient after Rhinoplasty

Corey S. Maas, MD

Swelling in the tip can last several months. Furthermore, there is continuous healing after surgery on the tip. Consequently, we recommend waiting at least a year in order to accurately evaluate the results from surgery and determine if revision surgery is needed. At four months, you're still within that... more

A: It is best to wait before revision Rhinoplasty

Farzad R Nahai, MD

Tip swelling is often the last area to resolve, especially if you had a wide or bulky tip to begin with. It can take up to 12 months for all residual swelling to go away in the tip. A rough rule of thumb is that if your tip still feels on the firm side, there is still swelling there. If it is still firm,... more

A: Rhinoplasty and Tip Swelling

Daniel Reichner, MD

You still have significant tip swelling four months after your rhinoplasty. I don't see a hanging columella, but there still is a little too much supra-tip and tip fullness. The "ideal" tip to nostril proportion is 1:2 and right now your nose appears to be closer to 1:1. As... more

A: If the hanging columella is your concern, time will help but can be corrected

Peyman Solieman, MD

Hey Cupcakeceri, It's often hard to sit on your hands and do nothing, but as you can tell from all the advice, most people would recommend being patient and letting things settle down. If we go beyond this early advice and think of what may be bothering you about the tip we notice 2 things... more

A: Wait for at least 1-2 years

Richard P. Rand, MD

The tip is the last area where swelling will resolve after a rhinoplasty. There are very few surgeons who would recommend considering any secondary surgery until a minimum of one year and preferably two years have passed. Unless these is a very obvious deformity that must be corrected, it is best to give the... more

A: Revision Rhinoplasty

Michael A. Persky, MD

Hi CupCakeCeri, The swelling and fullness of the nasal tip takes time to settle.  It appears that you are young and that your skin may be on the thicker, oilier side.  In young patients it may take a year or even two for your nasal tip to settle, and for your skin to thin.  You should certainly... more

A: Wait for secondary rhinoplasty

Steven Wallach, MD

Swelling after a rhinoplasty can last for up to and even longer than a year. Since you are only 4 months out from your rhinoplasty, I would wait.  The tip may get smaller.

A: time is the best choice at this point

Shahram Salemy, MD

Four months is still early after a rhinoplasty.  While it is a bit difficult to tell from your pictures, I think the skin of your nasal tip may be a bit thick and oily, and this type of skin takes a while to settle down after a rhinoplasty.  On occasion, we can inject a small amount of steroid... more

A: Be patient.

Manish H. Shah, MD

Most primary rhinoplasty patients will get to see the final result of their procedure after one year. Your nasal tip will be the last place to lose swelling especially if you had an open rhinoplasty. Go to your surgeon and have him teach you some tip taping techniques to help push the process a little. ... more

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Comments

Joey Santiago, MD
unregistered guest

21 Dec 2008

You're hot. Just wait.

cupcakeceri
3 posts
15 Jan 2009

thanks

chris c, dc
1 post
18 Jan 2009

I had pretty much the same thing done as you...about a month ago.i have the same problem my tip is still swollen and it makes my nose stick out :(...but don't worry yours doesn't look bad at all, i had to really zoom in to even notice. you look good!

dr pourpaki,ent,tehran,iran
unregistered guest

19 Mar 2009

at least u should wait for one year before undergoing a revision

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