Nose Tip Upturned After Rhinoplasty Doctor Answers, Tips
Rhinoplasty: Q&A
Ask a Question

Nose Tip Upturned After Rhinoplasty

I had Rhinoplasty several days ago. When I saw my nose at the mirror recently, I noticed, that the tip of my nose is lifted high, which does not look natural. The doctor told me that it's going to return into a more natural form after a while. Will it really change and go down? If so, when can I expect it to happen?
Tags:
34 Doctor Answers | Asked by vladimer in tel-aviv, israel
+6

The tip will drop in most cases

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... more
+3

Tip will return to normal after 6 weeks

Depending upon the tip techniques that were performed at the time of the surgery, the tip will most certainly drop after the surgery. The tip always looks turned up in the first couple of weeks after a Rhinoplasty due to swelling and will usually drop back to its normal position within two to six weeks. There is also further settling and healing that can occur over the next year. A year should be allowed for full healing to occur.
+6

This is probably a good thing!

Hi!    This is not swelling but probably an intentional overcorrection by your surgeon.  The tip will almost certainly come down.  You should see almost the final result in about 3 months.

You might also like...

Real Stories

May 20th Surgery Date. - Missoula, MT

Monday morning at 7:30AM I am finally going to have done what I have wanted for decades. I...

Before + After Photos

View 3469 Rhinoplasty photos
+4

Expect some correction of your Rhinoplasty results with time

Many rhinoplasty patients request an improvement in tip rotation. Many surgeons will tape the nose and support the tip if tip rotation modifications were performed. This taping may exaggerate the tip rotation several days after surgery. Often, after swelling subsides, some degree of drop will occur. Be patient. You and your surgeon can follow how your nose heals and you will likely see the results you want after a few months.
+4

Yes your upturned nose will likely drop

I can reassure you and tell you from personal experience that this will go down. Patient's often relate that initial concern that when they look in the mirror, all they see is their nostrils and they feel that they have a snout but this is quite normal and is a reaction to seeing your nasal changes for the first tme. Of course, it is difficult to say without a picture and without knowing the details of your specific procedure but generally you will see a vast improvement within 3 weeks after... more
+4

Days are not enough time to see rhinoplasty result

Rhinoplasty is one of the operations in plastic surgery that suffers the most from postoperative swelling. Particularly when there has been changes made to the tip of the nose, the body's first response to the operation is to send increased amounts of blood and fluid to the area to bring in the cells that mediate healing. This can last for a few weeks, and it is worst in the first week or two after surgery. I tell all of my rhinoplasty patients that it will take at least 3 weeks for the... more
+4

Rhinoplasty Facts: Early results are not an indication of long term outcome

Rhinoplasty procedures may cause considerable swelling and edema. This may disguise the actual shape of the nose in the immediate postoperative period. Nasal shape is defined by the underlying structural support as well as the overlying skin. In most cases after rhinoplasty, the edema obfuscates the long term structure of the nose. Be patient in the early period and allow the swelling to subside. This may take 6 to 9 months.
+3

Early after Rhinoplasty the Nasal Tip can look over upturned

After rhinoplasty, with normal swelling, soon after the casting material and tape is removed, the tip can look too upturned. As the swelling subsides the tip will drop significantly. Give it the time it deserves and realize healing from a rhinoplasty is a process that takes many months not days or a few weeks.
+3

Tip rotation after rhinoplasty

Tip rotation after rhinoplasty is very common and generally drops over the period of six to 8 weeks. Most rhinoplasty surgeons will slightly over elevate a nose because it is expected to drop some during the healing process as the nose settles and the swelling subsides. Patience is typically the best approach at this time. However, if it is still too high after that time you should address that with your surgeon. Sometimes taping can also help to bring it down to a slightly lower... more
+3

Rhionplasty and the tip

It is too early to tell what the final result will be. Often after rhinoplasty, especially with tape, the tip appears elevated more than usual.  Usually this settles down as the swelling subsides.  Be patient before you jump to conclusions.
+3

Tip taping can help.

Hi Vladime, When you release the soft tissues of the nose during rhinoplasty, they slide up a little as you have noticed. With time and gravity, they will come back down a little. With your surgeon's permission, you can start tip taping techniques to help the process along. As the swelling comes out of the tip skin, it deflates and sags down making it drop. Most rhinoplasties take up to 12 months to heal so you should notice change gradually over time. Good luck. Dr. Shah more
+3

Time is your friend after rhinoplasty

Swelling at this stage in your post-operative progress is likely masking your final result. At day 2 and 3 your swelling may be at a peak. Time will help. In my practice we also recommend head elevation for the first week. Splinting and taping can also help keep swelling and edema to a minimum. Most patients should see significant reduction in swelling and edema at 3-4 weeks with the final shape being more apparent at about 6 weeks however there can be residual edema for 6 months. Try to... more
+3

Your doctor is correct, the tip will drop

Your doctor is correct. The tip of your nose will drop, but it will take several weeks to do so. The initial swelling and taping will contribute to the temporary elevation of the tip. Even if the purpose of the rhinolplasty was to elevate the tip, there is always some settling downward.
+2

A few weeks to a few months.

The initial swelling usually allows the tip to drop in a few weeks to a few months. The tip swelling may last up to a year. Having said that, I don't think your nose will drop enough to satisfy you, but I could be wrong. Wait 3 months from the time of surgery and see a revision rhinoplasty surgeon who can show you good before/after photos of his revisions of shrt noses and speak with his patients.
+1

PostOperative Recovery & What to Expect Following Rhinoplasty

It’s not unusual for rhinoplasty patients to be concerned about the appearance of their nose in the immediate post-operative period. Following this procedure significant changes occur in the soft tissue of the nose. This results in a very dynamic healing process that can last for several months. These changes are often the result of soft tissue release, swelling and a multitude of technical maneuvers performed by the surgeon. In most cases, swelling slowly resolves and... more
+1

Tip Rotation and Settling after Rhinoplasty

Thanks for the great question. In many cases, when tip rotation is necessary as part of rhinoplasty, some degree of over-correction is performed during the surgery. This allows the nose to settle in a more ideal orientation. The process of settling and resolution of swelling generally takes a few months. Please stay in touch with your surgeon during this time.
+1

Post-op swelling after rhinoplasty

Your physician is the best judge of your post -op course, because he or she knows what was done at surgery. The tip of your nose will almost certainly drop, but it will take several weeks to do so and be quite gradual so somewhat hard for you to notice. The initial swelling and taping will contribute to the temporary elevation of the tip, but also helps hold down swelling. Even if the goal was to rotate was the tip upward, there is always some settling downward.
+1

When will a nose tip that is too high drop?

Typically a surgeon will slightly overcorrect the tip position during rhinoplasty. In addition, there is immediate swelling, taping, and internal sutures that make the tip appear higher than it really is. Once the swelling comes down, and the tissues relax, the tip should come down within as early as 2 to 3 weeks. In rare circumstances, you may see prolonged tip over-rotations. This may require a revision rhinoplasty. However, for now be patients and let the membranes, sutures etc.... more
+1

Usually the tip comes down some.

Your surgeon knows what he/she did to change the tip. If the doctor says it will come down, most likely it will. Swelling in the upper lip and the base of the nose can cause it to look to elevated initially. It may take 6-8 weeks.
+1

Rhinoplasty tip

It is expected that your nose will appear turned up or too short right after rhinoplasty. As time passes and the swelling goes down, the tip will drop back down to a more acceptable level. This happens in almost all cases, in fact, I make sure I let patients know this before surgery so they don't freak out after. Don't worry, it'll be fine!
+1

Nose Tip Upturned After Rhinoplasty

The upward rotation of the nasal tip is a desired outcome of rhinoplasty in many cases. In some cases it may be due to postoperative swelling. It is best to wait a few months for the nose to settle down. Post rhinoplasty swelling can take as long as a year to get to the final result.
+1

Trust your doctor.

You chose your surgeon carefully, now trust him to guide you through this difficult period. It is not uncommon for the nose to look turned up early on. Allow 2 to 3 months to pass, and I am sure it will look much better.
+1

Nasal tip upturned after nose job or rhinoplasty

It is quite common that the nasal tip will be turned up after rhinoplasty or nose job. This is usually due to swelling and the tape. The tip should settle into place and come down to a natural position at about 3 weeks.
+1

Early Post Operative Rhinoplasty Appearance

It is not uncommon after a rhinoplasty to notice the nasal tip turned up slightly. This is normal especially early post operatively from swelling. One can experience swelling, bruising, and the tip may be turned up somewhat early post-op. I would not be too concerned about it unless it persists for more than 4-6 weeks.
+1

Nasal tip rotated after rhinoplasty

After rhinoplasty the tip will often lift up as a result of the swelling. This takes a few weeks to settle down. The exact time frame depends on the specific surgical techniques used.
+1

Rhinoplasty changes following surgery.

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.
+1

Time, time, time.

Although very difficult, waiting for your new nose to emerge after rhinoplasty is necessary.  The swelling, bruising, asymmetries, nostril irregularities, tip position, skin changes, size, etc.... all will change over the first 12 months.  Wait for the nose to "relax" a few weeks before becoming concerned.  Stop looking in the mirror.  Probably 80% of rhinoplasty healing is complete by 3 months.  This will be a better time to start judging your res more
+1

Early Rhinoplasty Results

Early rhinoplasty results are difficult to assess.  Give the nose a few weeks and then a better evaluation of how your rhinoplasty results are can be performed.
+1

Tip up after rhinoplasty

You mentioned that your surgery was just 3 days ago and that's WAY too early to evaluate the result. Often the tip is turned up right after the surgery from normal swelling. Try to relax, and contact your surgeon.
+1

Upturned tip

Many elements of your result will evolve over the next several weeks and months.  Try not to read too much into these early appearances of your nose.  Patience is your best medicine at this point. Best, Tal Raine MD
+1

Turned up tip after rhinoplasty

It is rather common for the nasal tip to appear a bit turned even after the nasal bandage comes off.  Most of the settling will occur in a few weeks. Nasal tip control during rhinoplasty is paramount, but easily achieved.  In cases with poor tip support one can see post-operative droop, in cases with too much tip cartilage removed in a wrong place the tip can permanently turn up.  Only a skilled and experienced nasal surgeon can achieve good tip control.  I'm... more
+1

Nose tip will come down

Hi Vladimer, Dont worry too much. This is rather common. By two weeks, it should come down quite a bit. Ask your surgeon if he or she thinks taping it down would be helpful. Good luck.
+1

Too soon to tell

Never judge a nose by the way it looks in the first few weeks after surgery. Often, the nose goes through changes for 6 months to a year and a half after surgery. However, I am concerned that the tip usually moves in the opposite direction after surgery. It usually moves upward as the swelling subsides. In any case, be patient.
+1

Tip swelling is normal right after rhinoplasty

The nose begins to swell right after rhinoplasty and reaches a peak after about three to four days. Swelling occurs over the bridge of the nose as well, however the tip is the "mobile" part of the nose and can swell upward or appear to turn. The taping and splinting your doctor applied will guide and control the swelling and as the swelling goes down the splint begins to loosen and the tip drop, usually at about one week. Your nose should look pretty good at a week and continue to... more
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (3)

Tiffany528 3 Jan 2013
Yes, weird enough. I cant really explain it, but it did. It still feels like a prosthetic nose though.
rhinobaby 3 Jan 2013
Tiffany did your nose ever rotate down after surgery? I had my surgery 10 days ago and would like mine to come down a bit, but can't find anyone that actually mentioned their tip coming down.
Tiffany528 8 Aug 2012
Is there any way you can post a pic? I have the same problem. Also, is the tip of your nose hard? This is really bothering me...sorry, i dont know when you had this done.

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok