Im about 14 months post-op and my nose is starting to look worse and I'm a bit worried. Is there anything that can be done? My surgeon has offered further resection in the tip instead of grafts and Im not sure this is a good idea. Would it be best to leave it how it is?
Pinching in the Nose? (photo)
Doctor Answers (4)
Pinched nose after rhinoplasty
At 14 months the swelling has resolved the changes will require revisional surgery. The pinched look combined with a bulbous tip indicates two problems: scar tissue or cartilage centrally, and inadequate cartilage support laterally causing the pinching. I am concerned that your original surgeon does not fully understand the problem or is not explaining it well, but revisional surgery with cartilage grafting as well as dealing with the central bulbous appearance are both important. I would absolutely us an open rhinoplasty approach.
Bulbous Tip and Nasal valve Collapse
It looks like you have a persistant bulbous tip and the begingings of a nasal valve collapse. Revision rhinoplasty is probably what you are going to need but I would be cautious on going back to the original surgeon that created the problem.
Pinched tip after Rhinoplasty
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The appearance of your nose after Rhinoplasty Surgery may be improved.
I reviewed your concerns and your photos.
Your tip did not likely get wider after your nose job. You appear to have indentations just behind your tip which is making your tip appear bulbous. Your mid bridge appears a bit narrow as well.
You may require a revision rhinoplasty to improve your nose, but you may be a candidate for a Non-Surgical Rhinoplasty to add volume, improve symmetry and improve the appearance of your nose. In properly selected patients, I prefer to use Silikon-1000, an off-label filler for permanent results. I would not be able to judge your candidacy for silicone nasal injections without examining you.
It is my practice philosophy to leave a revision rhinoplasty as a last resort.
Hope this is helpful for you.