Why Do I Have Bulbous Tip So Long After Rhinoplasty?

The bulbous tip you are describing may be related to scar tissue development. Bulbous tips can be due to several things: 1) the overlying thick skin envelope, and 2) the way the tip cartilages are shaped, and 3) scar tissue from previous surgery. Usually #2 is easy to correct. Thick tissues are very difficult to thin without leaving unwanted depressions. Sometimes the scar tissue can be removed as well, but it may be difficult.

Following rhinoplasty, the body heals by laying down scar tissue. As scar tissue matures (over the first 12 months) it contracts. This contracture of scar tissue can distort both the skin the nasal framework. When scar tissue contracts and pulls the nostril sidewalls inward (even very slightly as in your case) it can give the nose a bulbous appearance -- some patients describe this as having a "ball-like" tip. This can be corrected by supporting the nostril walls and/or nostril... more

Hi, If your tip was initially good after surgery, it's likely that your body has put down some scar tissue which is making it look fuller. A steroid injection probably won't make a significant difference at this time, as this works best when the scar tissue is actually in the process of forming (that is, within the first year after surgery). I would recommend returning to your initial surgeon for an evaluation, bearing in mind that additional surgery may be advised. Good luck. more

Hi Sue, If your tip was initially fine, and has become bulbous a year after your rhinoplasty then it is due to scar tissue formation. The best time for steroid injections is before scar tissue forms or in the early stages. The other possibility is an inclusion cyst which is very rare. The changes in your tip are not due to weight gain or aging, or most of us would have bulbous tips. You should consult with your rhinoplasty surgeon or with another surgeon expert in revision rhinoplasty... more

There are several possibilities. I didn't catch how long after surgery you are, but it seems like a significant time. You may be experiencing scar tissue, or even the resolution of swelling from other areas around the tip making the tip more prominent. I do not think aging or weight gain should have a significant impact on this area. I think a visit to your ps would be in order. A steroid injection may help, or may not help. sek

I see your concern. Is it possible that your tip looks bulbous because there are indentations on each side of the tip? If this is the case, you could consider Non-Surgical Rhinoplasty, or a surgical revision rhinoplasty. I've attached a link to my Non-Surgical Rhinoplasty page for your perusal. Whichever you decide, make sure your doctor is certified and experienced with photos demonstrating favorable results. I hope this helps, and best regards.

It's simply too hard to answer these questions online. Rhinoplasty is a complicated procedure and both pre and postop pictures are necessary along with a complete examination and review of the operative report. I suggest you see your original surgeon about your concerns. If you are not satisfied with what he/she tells you then get a second opinion from another board-certified plastic surgeon who specializes in rhinoplasty. Good luck!

Patients can have an over zealous healing  curve and develop thick scar.  This can be injected with a small amout of steroid and get a positive response.  It is better to put a small amount perhaps twice, than too much and get an indentation.