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Has Nasal Tip Refinement Been a Failure?

I had septorhinoplasty 3 months ago mainly to refine my tip. After the cast was removed, the tip was still rather bulbous/swollen but I did notice very subtle improvements. However I'm concerned to find that my nose has not changed AT ALL since the cast was removed. The tip is still boxy and feels hard. He told me that most of the swelling decreases within the first few months. I'm starting to lose hope that the width of the tip is ever going to decrease significantly.

Doctor Answers 5

Patience is required

Thank you for your question!

It is understandable that you are concerned. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that swelling takes time to subside as it masks the results of your surgery.

It is important to keep in mind that it is early to pass a judgment. Usually, a year is required before formulating how your nose will be, but longer with a thick skin. Even then, your nose will keep shaping itself to complement your face for better results in the years to come.

My best recommendation at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling resolves, more definition and shape will be achieved and you should be happier with the results.

Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.

Congratulations on your surgery and remain positive!

Ali Sajjadian, MD FACS


Orange County Plastic Surgeon
5.0 out of 5 stars 157 reviews

Have a question? Ask a doctor

Rhinoplasty - Tip Refinement

While most of the nasal swelling decreases in the first few months following rhinoplasty, you will still undergo continued improvement in swelling over the next year.  Please continue your follow up visits with your surgeon and have patience as you will see continued improvement.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

3 Months After Seporhinoplasty: Too Early to Tell

There is no way to give an accurate assessment of your nasal tip result at 3 months.  Swelling takes a minimum of 6 months to a year to resolve.  I recommend that you maintain a line of communication with your Surgeon for evaluation and reassurance.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Post rhinoplasty tip swelling

It is to soon to tell how your final result will be as you are very early in the post operative phase. The swelling in the nose and especially in the tip may take an entire year to fully dissipate. Make sure you go in and see your surgeon regularly. Be patient and you will see results as time goes along. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 150 reviews

Too soon to tell

By all means it is too soon to tell.  I have my patients wait at least nine months as it takes that long for all the tip swelling to resolve.  Be patient, it is a slow process but follow up with your plastic surgeon to see how it is doing.

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.