Revision rhinoplasty for tip refinement 4 months after initial surgery?

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?

Revision rhinoplasty for tip refinement 4 months after initial surgery?
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15 answers to “Revision rhinoplasty for tip...”

A: Wait one year before considering revision rhinoplasty

Robert Mounsey, MD

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

A: Revision Rhinoplasty: Knowing "If" and "When" Its Necessary

C. Spencer Cochran, MD

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

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.

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