Do I need a revision Rhinoplasty?

Rhinoplasty tip edema can be a persistent problem even 4 months after surgery. For patients that present to my San Francisco area office my recommendation usually involves waiting at least 8 - 12 months after primary rhinoplasty when the concern is edema or swelling in the tip. Give it a few more months and... 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

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

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

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

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

Certainly a full six months at least need to elapse before considering any revisions.  And the aesthetic cost of revisions also must be calculated.  For example, further reduction of the tip may indeed reduce the size of the tip but can cause notching to the side of the tip, a "pinched... more

At four months post-op, there is likely to still be some tip swelling after Rhinoplasty.  Because this is the most dependent (lowest) part of the nose, it takes longer for the lymphatic drainage of the nasal tip to return to normal. Most surgeons would advise you to wait a full year before considering a... more

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

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.