Nose Tip Upturned After Rhinoplasty

In most cases, the tip will drop, however the degree to which it does so relies on a number of variables, including your specific anatomy before the procedure, the goals of the procedure, the techniques used to modify the tip (sutures, cartilage grafts, etc) and ultimately your body's healing capabilities. In general, I urge all patients who have had a rhinoplasty to be patient with the initial appearance, as it very often looks too swollen and the tip may indeed look too upturned. With time, it should settle quite nicely into a more natural position.

So it is common for the tip of the nose to be slightly over turned in the immediate post op period.  This may be intentional as noses tends to drop a few millimeters with time, this may be secondary to swelling or as a result of the taping hence you need to be patient and allow the healing process to begin.  Usually within the first 6 wks you can start to see the tip settling.  That being said in some cases the tip may be placed permanently too high in which case a correction may be necessary.   This would only be done 9-12 months later so you need to be patient either way and see it throughGood Luck

When the nose is taped after rhinoplasty it almost always looks higher than it really is. When a person lies down, the nose naturally lifts up some. When the tape is placed after surgery, the patient is usually lying down so the tip stays in its elevated position. When the tape comes off the rotation always decreases some, most of it occurring within two weeks. Additional changes can occur depending on what was done surgically and how the tip was supported. Be sure to discuss any concerns with your surgeon.

It is not uncommon to see changes secondary to edema (swelling) following rhinoplasty.  Sometimes steroids may be useful during the acute postoperative period to reduce these changes.

If the change you notice now still is of concern over the next 6 months, then it may be appropriate to review this with your surgeon.  However, it is likely to improve on its own without any necessary intervention.

Thank you for your question. The answer is yes, the tip will go down as the swelling subsides. Since I'm not able to see your pictures to determine if you have thick or thin skin I can only advise you to be patient because it's been only several days since your surgery. It takes approximately 3-4 months for the nose to start settling but in cases of thick-skinned patients, this may take up to 12 months or even longer.
Just give it some time, be patient and I'm sure you will be happy with your results. Good luck.

I am sorry that your surgeon did not prepare you by explaining to you how the nose will look postoperatively! As a specialist in rhinoplasty surgery, I explain in detail to all my patients that having an upturned nose for the first couple weeks after surgery is perfectly normal. If I were in your position and nobody had explained this to me, I would be similarly concerned. Please be patient and know that it is very common for the tip to be temporarily elevated due to swelling. The tip will settle into a lower, more natural position as the swelling decreases. If you are ever unsure about your healing process, it is best to follow up with your surgeon as he or she knows what was done and can provide better explanation of what is going on in your postoperative course.

The nasal tip may be higher at first right after a rhinoplasty. As you continue to heal and your swelling subsides, it may slightly become lower. And usually the nose gains a more natural look after healing and losing the swelling.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Several days postoperative rhinoplasty is too soon to judge the angle between your nose and upper lip. Gravity may lead to several millimeters of derotation as you proceed through the healing process. If you're still concerned 1-3 months postoperative, consider re-asking your query with before and after photos.Hope this helps.Dr Joseph

Although you may be alarmed over an over elevated tip right after your surgery, often this is not the case.  Overall, it is best to remain patient, and discuss your concerns with your surgeon to possibly better understand what to expect.  I tell all my patients that only after several months into the healing can a more reliable prediction of the result be made.  This is why we as rhinoplasty surgeons typically do not entertain, or do revisions until at least 9 to twelve plus months after the initial procedure. I hope this helps.Sergio Pasquale Maggi, MD, FACSdrmaggi.com

When the tip is rotated during rhinoplasty, there is often some degree of over correction in the immediate post-operative period.  The tip will normal appear to drop from resolution of swelling and relaxation of the tip support structures.  How much relaxation depends on the technique the surgeon used and can range from nearly none at all to several degrees.  Communicate with your surgeon so they can relay the appropriate expectations based on what they did during your procedure.

This is a common concern after rhinoplasty.yes, it is common for the nose to looked turned up the first several weeks following surgery.Be patient, stay in touch with your surgeon, and give things time.