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Unhappy with Results - Should I Get a 2nd Rhinoplasty?

asked 1 year ago by delac in US
Latest answer by Amy T. Bandy, DO
Question viewed 2,040 times
Tags: male, cartilage, open, profile, swelling, tip

After 3 months from my surgery I dont completely like results. My nose is still very swelled and the tip looks long in profile because of this. I had an open rhinoplasty combined with cartilage reduction on my adam's apple. I swelled so bad that my entire face was round and I had bruising even under my lips, tongue, black around the eyes, and with hemorrhage inside one of my eyes. Can this be a reason why I'm still very swelled? The surgeon says that some swell more than others and that it takes up to a year for it to go away. I'm nevertheless still worried

14 answers to Unhappy with Results - Should I Get a 2nd Rhinoplasty?

Revision rhinoplasty or not.

Your nose will change much more over the next 6-9 months. It is too early to say whether or not you will need anything further before that time.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Still Healing!

When I had my rhinoplasty, I noticed swelling for 18 months! It is very common to have swelling early in the healing process. Swelling can be affected by your diet (salt and alcohol especially), activity, and even your position when you sleep. I would not recommend considering revision for at least another 9 months. You can try taping your nose at night to minimize swelling, and sometimes steroid injections are helpful- you can talk to your surgeon about different options to help you.... more

Catherine Winslow, MD
Indianapolis Facial Plastic Surgeon

www.indyface.com

Unhappy with Results - Should I Get a 2nd Rhinoplasty?

Give your nose a minimum of 6 months to heal before making a decision, but you may ultimately want a secondary, as your nose appears to have quite a bit of projection.

Amy T. Bandy, DO
Newport Beach Plastic Surgeon

Swelling post-op rhinoplasty

You need to be patient. There is no question that the nose will take on significant edema after rhinoplasty. I would not make light of the fact that you do not like the way it looks now, but I would place that fact into context. The nose will change greatly between now and the one year mark.

Jay Calvert, MD
Beverly Hills Plastic Surgeon

Disappointment following Rhinoplasty

Although I understand your concerns and worries about the final result of the rhinoplasty - I agree with the surgeon. You simply have to wait until all swelling is gone to assess the final result. A happy patient is a product of a skilled surgeon and also having reasonable expectations presented by the surgeon. With time your concerns will probable improve significantly - possibly disappear. However, if you continue to have some issues they can be addressed at a second procedure - but only... more

Jon F. Harrell, DO
Miami Plastic Surgeon

www.westonsurgery.com

Unhappy 3 Months after Rhinoplasty

It is very rare for a patient or surgeon to say they would be satisfied with the nasal appearance at 3 months if that was the final result. Your nose will change for a year after surgery - then decide if you want a revision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty

While I appreciate your concerns about your nose. All bets are off for about a year for the swelling to come down.

Steven Wallach, MD
Manhattan Plastic Surgeon

Wait an entire year before a revision rhinoplasty.

I know it is hard to be patient, but you must wait for an entire year after rhinoplasty before you really see the changes made during surgery. Additionally, it takes one year for the scar tissue to completely soften so that any revision surgery can obtain a predictable result. The WORST thing you can do right now is have another surgery. It is normal for some swelling to still be present even 3 months after surgery and the skin has still not contracted down to conform to... more

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon

Swelling after rhinoplasty

Actually it will take a long time for all of the swelling to go away after a rhinoplasty. It is unusual, however, for there to be residual bruising at three months. Keep your head elevated as much as possible and wait at least another six months to evaluate the final result. Perhaps at that time several consults for a revision will be in order. All the best, Tal Raine MD

Talmage J. Raine, MD
Chicago Plastic Surgeon

Time period before revision rhinoplasty

it can take up to one year for all of the swelling to go away from the tip of your nose. It is best to wait at least that long even if a revision is necessary since this could make your result worse if you had surgery sooner. I would follow regularly with your surgeon as there may be interventions that can be done during the healing process to improve the results.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Three monthis is way to early to consider revision rhinoplasty

It takes at least one year for the nose to fully heal following rhinoplasty. The last part to come in is the tip of the nose. If you had a lot of initial swelling and/or thick skin it can take even longer. I try to dissuade my patients from even considering revision surgery at three months. This should not be addressed verbally until at least 6 months and not done before a year or more. Your surgeon should be able to judge how much swelling remains at 1 year.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

You are too swolen to judje your final Rhinoplasty result.

I read your concerns and reviewed your photos. You appear to have significant residual swelling in your tip even though your Rhinoplasty was 3 months ago. I don't think your laryngochondroplasty (Adam's apple reduction) is contributing to your tip swelling. Ask your surgeon if he thinks a steroid (triamcinolone acetonide) injection to your nose might be helpful for the tip swelling. Based on how good you look now, I don't think you'll request further nasal... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Second rhinoplasty

Much too early in your healing phase to be SOOOOOO concerned. If after 6 months you are concerned still than seek other opinions. My early thoughts of your result are good but the upper bony width is of concern as is the hump definition. But again this could be swelling. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

3 Monnths After Rhinoplasty

It is completely normal to have swelling (edema) 3 months after Rhinoplasty. It is also completely normal to be somewhat equivocal/ anxious about your results at this point. The reason? It takes a full year and sometimes longer for your result to unfold, for edema to subside, and for your comfort level to improve. The speed of healing across a broad variety of patients follows a Bell curve. Some patients heal rather quickly, some very slowly, and most others... more