Rhinoplasty and Septoplasty - Too Hasty About Judging Results?

Hi, I know this is probably hasty, but I had a sephtoplasty/rhinoplasty eleven days ago, and I am not satisfied with the tip. I feel it is too tippy and projected like tinkerbell, plus bulbous around the tip and sides of nostrils, the bridge looks great. I'm hoping the bulbous parts are from swelling and will go down...I didn't have a nose that people thought needed cosmetic surgery to begin with. I just wanted to focus more on my eyes and lips, so it was more of a finesse surgery. 12 days post-surgery I can see quite a bit of nostril flesh also in the inside of nostrils obstructing a lot of my breathing making an appearance of a pig. Is this all due to swelling?

The doctor told me to wait 6 weeks to see better results, but I have been reading on the net that for the most part after two weeks post you get a good look at what your nose is suppose to look like. I'm starting to get depressed, am I being way too hasty or is at this point, what you see- is what I get ?

Doctor Answers (11)

Way too early!

+2

This soon after a rhinoplasty you should not even look at your nose! It is definitely swollen, and will change significantly as time goes on. I tell my patients that the swelling will subside to the point where strangers who meet them for the first time will not notice anything one month after surgery, but as far as the final result goes, the "minimum" times are 6 months for the bridge, and 12 months for the tip and sidewalls. Sometimes it even takes longer for all of the swelling to subside. Don't aggravate yourself at this stage - you might have the perfect result you are waiting for hidden under some swelling!


Dallas Plastic Surgeon
5.0 out of 5 stars 51 reviews

You are being too hasty.

+2

RELAX - it is far too early to evaluate the result. Here is my usual timeline:

When the splint comes off you usually see how the dorsum ( bridge) looks.

At three weeks you have about 60% of the result.

It takes a full year for all of the swelling in the tip to go down.

Don't try to rush it, give nature a chance to heal.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.0 out of 5 stars 9 reviews

The nose takes time to heal

+2

Once the cast is removed, it takes a trained eye to interpret the results and distinguish swelling from irregularity. The healing process of a nose is dynamic so it will change over the course of months and years. Overtime, hopefully your nose change in a more positive direction.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 71 reviews

You might also like...

Judging Rhinoplasty and Septoplasty Results

+1

Based on the beginning of your note, you understand that you are early in the healing process. Your surgeon is advising you properly to wait at least 6 weeks before begin judging the results, and you will be healing for up to a year.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 18 reviews

Rhinoplasty healing time can take 1 year to see final results

+1

It really can take 1 year to see your final results so do not panic.  If you trust your surgeon then let him reassure you.  If things are not right he should be able to tell you that and give you a roadmap of what will be done to get you the results you are hoping for.  Best of luck.

Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 2 reviews

11 days after rhinoplasty

+1

11 days after rhinoplasty is waaaaay too early to judge the final result, ecpecially the tip. The tip has a lot of soft tissue and therefore the swelling lasts the longest there. It can take up to a year until you see the final result so dont get depressed.

You'll see continued improvement gradually. There wiil also be some relaxation of the tip so it wont stay elevated as much as it looks right now. Most of all work with your doctor and trust his judgement. That's why you picked him ! Good luck.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Too early after Rhinoplasty and Septoplasty to judge results

+1

This is quite a bit too early to judge results. Rhinoplasty swelling can take a long time (weeks/months) to go down. Small (millimeter) changes in swelling can make a big difference, so be patient. Share you concerns with your surgeon and let him/her guide you through the healing process.

Sam Most, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Rhinoplasty tip

+1

Slow down!!! Since you are so early post-op, you have to give it some time for the swelling to settle down. Many patients after open tip rhinoplasty look like "Rudolph" for the first couple of weeks because of the swelling. I always warn patients about this. This is swelling in the skin that is elevated. It takes several weeks for the majority of the swelling to dissipate and then even more time for the residual swelling to go away.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Nose surgery recovery time

+1

You may still be bruised. Bruising if present takes two weeks to clear. your swelling will be around for six months before its all done. However a significant part of it will have resolved within the first several weeks. At that time you can usually tell how your nose is going to look when 'all the dust has settled'. Its frustrating. But there is little you can do to speed things up, although there are several things that will slow down the healing process.

Oakley Smith, MD
Toronto Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Rhinoplasty final result may take 6-12 months

+1

Unfortunately, without examining your nose, it is difficult to say. However, your nose after rhinoplasty will be swollen for at least 3 months. During this 3 month period, there will episodes of less and more swelling, so it will be really difficult to judge the final result. However, it really takes 6-12 months for the swelling to completely resolve and the nose to settle in. I know this may sound like a long time, but remember you have swelling in a really small area of your body, and so the swelling will be more pronounced than other surgeries involving a larger surface area.

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon
4.5 out of 5 stars 8 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.