hello, i had revision rhinoplasty a month ago for septal reconstruction and correcting alar retraction from prior surgery. I had an open procedure this time. The doctor placed a columellar strut to maintain tip projection not so much to elevate it because i had had lost some projection in my previous surgery and ended up with a columellar show. but i was happy with it more than i am now with the current tip as i now have a very upturned tip. I find the tip feels too upturned now than before specially when I smile, it pushes more skin upward making me look weird with a short stub nose. Please tell me how many millimeters of tip drop i can expect in the upcoming months. From post op day 7 when the cast came off, the tip dropped probably 1-2mm. I will be happy if my tip drops 2-3mm more in the up-coming months. is this feasible and a realistic expectation? More than whether the nose looks aesthetically proportionate, I am worried about retaining my family facial feature traits and don't want to look alien coz of my surgery. It would be good if my tip drops as stated above. Pls throw some light on this so i can wait in peace.
generic nasal-tip-drop to expect, after revision
Doctor Answers 5
Generic tip drop just does not happen
Columellar Strut for Tip Support
Thank you for your question!
Gregory C. Park, M.D.
Tip rotation and swelling after rhinoplasty
Dear Rhinoplasty Patient,
It is difficult to render a professional opinion without examining your nose or having a picture to visualize it. Based on your descriptions, there remains some degree of swelling and tip rotation after your recent rhinoplasty surgery. I would recommend you to wait for at least two months until majority of swelling has subsided, if there is any issue with you nasal tip, then talk to your rhinoplasty surgeon. Good luck and good healing. Dr. Kevin Sadati
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WIll the tip drop following revision rhinoplasty surgery?
One month is still very soon after surgery, and your nose will continue to heal over time. In general, the final result of a rhinoplasty is not evident for 18-24 months following surgery. Swelling is a huge factor in the appearance of your nose shortly after your cast is removed. 70% of the swelling will go down in the first three months, and the remainder will go down over time. Your tip may drop slightly more, but it is difficult to say whether or not this will occur or exactly how much. Without examining and/or seeing your intra-operative photos, it is difficult to provide you with any advice. From here, I would recommend speaking with your surgeon regarding your concern, as he or she will be able to advise you on how to expect your nose to heal. Thank you and I hope this helps. I wish you the best of luck with the remainder of your recovery.
THE NOSE AFTER RHINOPLASTY WILL DROP A BIT MORE
Yes, rom my experience with primary and revision rhinoplasties, most likely, the tip will drop a few more millimeters. At one month after surgery from an open approach, there is still a fair amount of swelling and stiffness (I am sure you can feel it if you try and wiggle your nose or smile). You have already seen it drop a bit, and it will probably drop a bit more. The hardest part now is waiting for things to settle in. Good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.