Revision Rhinoplasty: Q&A
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Can a Nose Still Refine 1 Year Post Revision Rhinoplasty?
I had a revision rhino 1 year ago and the tip area is still bulbous looking. My skin is slightly thick so I wondering if I can still expect improvement over the upcoming year, or should I consider a revision? My nose is not horrible looking, just too big for my taste. Have any of you surgeons personally witnessed marked improvement over a 2 yr time frame? I will wait if increased definition is in my near future. I've read mixed reviews about swelling so personal insight is best!
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9 Doctor Answers |
Asked by
Sarah23
in 90210
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Nose 1 Year Post Op
Even though most people can see final results from a rhinoplasty by one year post op, for patients with thick skin, it is very common for it to take as long as two years before final results can be seen. Continue to be patient during this time.
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Revision Rhinoplasty
Thick skin sometimes obscures the cartilage framework that is refined with a rhinoplasty. So it is possible that there is a limit as to how much tip reduction you can achieve. I would suspect that most, if not all, of your swelling has subsided after one year. If your nose still appears swollen, then it is most likely that you may desire a revision or at least an opinion from a board certified plastic surgeon regarding a potential revision.
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Philadelphia Plastic Surgeon
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Can a nose continue to change after one year following surgery?
Depending on the nature of your surgery, it may take longer than one year to see the final result, and improvement is still possible. I have seen some cases where it takes longer. With a revision that involves tip work, the amount of time it takes to see the final outcome is influenced by the following:
1) The extent of the tip work, and how many revisions you have had in the past
2) The thickness of your skin
For now, I would wait before considering another revision....
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Charlotte Facial Plastic Surgeon
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Revision Rhinoplasty
Dear Sarah,
Most plastic surgeons agree that the one year time frame is typical for healing with rhinoplasty and most likely with revision as well. Sometimes extenuating factors may increase this time frame i.e. thick skin, however the changes would be minor in my opinion. You may have scar tissue that you are feeling and a direct examination by your surgeon will be able to provide the proper answer to your question. Best regards, Michael V. Elam, M.D.
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Revision rhinoplasty
Most surgeons will tell you to wait for one year to see the full potential of a PRIMARY rhinoplasty. There is less conventional advice when it's revision. Inm 15 year experience, I would say you can still see some additional refinement after one year. However it's going to be minor. Keep in mind that you have had two surgeries already, so the thick skin comment is being driven in part by a layer of healed "scar" tissue. So things may not redrape as tightly or...
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Most of the swelling has resolved by 1 year after rhinoplasty
Hi Sarah,
Most of the swelling goes away by one year after rhinoplasty. I cannot make a complete judgement without seeing pictures, but if your nose is still quite bulbous by this point, there is usually not a great chance that you are going to see much improvement. That being said, there are occassions in which the skin envelope "shrink wraps" for many years after rhinoplasty, particularly in thin skinned individuals. Rhinoplasty on patients with thick skin can be...
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Improvement of Rhinoplasty Result after 1 Year
In some patients with thick skin I have seen some improvement 18-24 months after surgery. An examination and review of the surgical procedure would help in answering your question. Having said that it is not too soon to consider a revision.
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Swelling and revision rhinoplasty
In my experience, not all swelling is resolved after 1 yr after surgery, especially as it relates to revision rhinoplasty and thick skin. You should get further refinement, but probably not a dramatic change.
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Can a nose still refine one year after revision rhinoplasty?
Without knowing exactly what was done during your surgery, it's difficult to give you a precise answer. In my experience, I would expect most of the swelling to be gone a year after a rhinoplasty. I would not think that you would see any significant improvement after a year.
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