Your nose will continue to heal and change in appearance for a year, and even up to 2 years for patients with thick skin. The tip is the area that swelling after surgery will take the longest to resolve, so give it a chance to fully heal before considering a revision surgery. Based on the thickness of your skin, further refinement of your tip may or may not be possible.
Although a bulbous tip is a very common finding, addressing it remains a very controversial procedure.
There has to be a balance between preventing a pinched tip, vs a natural refined look. Seek the advice of an experienced rhinoplasty specialist.
If there was minimal work done to your tip, you may be a candidate for further refinement. However, each patient should be addressed individually. Submitting photos is most important for addressing your particular issue.
Post photos, or, if uncomfortable seek a consultation.
Thank you for your question.
It is felt by most rhinoplasty surgeons that any revisions should be done after sufficient healing has occurred. This is usually around 7 to 9 months.
I personally like to have the area in question become supple and free of any cyclical swelling, or tenderness before a follow-up procedure is contemplated. This often requires patience and focal tissue massage that we teach our patients during the healing period.
I hope this helps.
S.P. Maggi, MD, FACS
I would wait at least one year before considering a revision.
Kenneth Hughes, MD
Los Angeles, CA......
The answer is, yes, you can have a tipplasty to address the bulbous tip, but I would wait a minimum of a year. Rhinoplasty recovery may take from 8 months up to completely heal. Give it time before you decide to have a revision.
One has to be sure that the improvement from a revision is predictable. This is something between you and your plastic surgeon. I would not embark on a revision for at least six months two-year after there has been no visible change the nose over a longTime interval.
If your first surgery was closed.....wait at least one full year. If it was open, I would wait a minimum of 18 months. Also, a "tip touch-up" is often not a simple minor procedure at all. Disuss your goals with your surgeon at the appropriate time.
It's usually possible to go back and revise the tip but I would recommend waiting at least a year to allow for all of the swelling to subside and allow you and the surgeon to see everything better.