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I Had Rhinoplasty 3 Months Ago...Nose Looks Much Longer now!

I had rhinoplasty about 3 months ago. Overall I just had a nose that needed to be shaved down a few millimeters. my nose was a little down turned and that wasn't supposed to change but now when I take pictures I hate how long my nose looks, I think its because my tip was raised a bit and my hump overly shaved down. Is it possible to de-project my tip and slightly turn it down? Also my columella shows much too much I'd like to reduce that as it contributes to drooping when I smile.

Doctor Answers (4)

Deprojecting the nasal tip in revision rhinoplasty

+3

Thanks for the question and for sharing your photo. The first point is that at 3 months, you still have some ways to go before your nose is a "finished product" so I would encourage you to wait it out for ~9 more months before even considering revision surgery. Your tip may appear less projected and rotated with time.

That being said, I can certainly appreciate your concerns. Deprojecting and counterrotating the nose can be achieved by shortening the medial crura of the lower lateral cartilages. These crura are the portions of the cartilages which sit behind your columella, between the nostrils. In rhinoplasty, a well described methodology for addressing the tip is to think of it as a tripod. If you shorten this lower leg of the tripod, the tip will deproject and counterrotate. It is difficult to assess your columellar show in the photo you have submitted but this is an issue which can be addressed with rim grafts if the nostril rims are too high. Alternatively, it may be a matter of changing the shape of your columella. Seeing standardized photos of your nose would certainly help in this analysis. 

Best of luck,

Dr. Mehta


Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Please wait till the swelling is resolved

+2

 The best thing would be to wait at least six months and let the tissue to heal and the swelling to resolve. Please let your surgeon help you and do not rush into revision.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
5.0 out of 5 stars 52 reviews

I Had Rhinoplasty 3 Months Ago...Nose Looks Much Longer now!

+1

If your nose looks longer after rhinoplasty, then it can not be because your tip was turned up, because then your nose would look shorter.  Why would you turn your tip down if your nose is too long? If you have columellar show and a long nose with a droopy tip, it sounds like you need to shorten your nose (many methods to do so), and rotate your tip to a better or more cephalad position.  Of course a consultation would be best to properly analyze your nasal anatomy.

 

Ramtin Kassir, MD

Ramtin Kassir, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 25 reviews

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Nose longer 3 months after rhinoplasty.

+1

Yes, the nose can be deprojected and the columella repaired, etc. I would wait at least 3 more months before doing this since the nose will continue to change for at least that amount of time.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.