Revision rhinoplasty for tip refinement 4 months after initial surgery?

Rhinoplasty is a complex procedure. The lymphatics, skin and soft tissue of the region lead to some normal post op swelling. This can manifest as minor tip abnormalities. At four months the healing process and remodeling of the tissues is still occurring. It is too early to consider any further surgery on the... more

First and foremost, it is too early for you know whether or not you should consider revision rhinoplasty. The nose will undergo significant changes during the first SIX months after rhinoplasty, and usually takes a full TWELVE months for the final result to become apparent. As the swelling goes down, you... more

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.

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

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

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

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

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

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

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.