Revision Rhinoplasty: Q&A
Ask a Question
Do I Need Revision Rhinoplasty?
I had open Rhinoplasty 3 months ago. I think I have supra alar pinched tip, although the tip itself is not pinched. This is my picture, can you please confirm this? Do you think the tip itself is still swollen so it makes it look even worse?
Another thing, what is the cost and recovery process for a revision for this issue? Is it like the open rhinoplasty? Can I use fillers instead or is the pinching too deep? Sorry for all the questions but I am confused. Thanks!
Tags:
26 Doctor Answers |
Asked by
samra2
in washington, DC, USA
+2
Pinched nasal tip
Dear Samra,
First of all, I would absolutely concur with the other surgeons who have previously answered your question. You should wait until around 12 months after your rhinoplasty before considering revision rhinoplasty. As things settle out, you may find that you are no longer bothered by the appearance of your nose...
Obviously, I would need to examine your nose, both inside and out, to give you an accurate diagnosis. However, based purely on your photo, my suspicions are that you
more
+2
Do not Rush into Revision Rhinoplasty prematurely
Hi Smara,
I know you might be disappointed, but you would be served best if you wait for one year before doing a revision rhinoplasty.
Three months is very early as your nose has a great deal of swelling and will continue to improve over the next 12 months.
Please try to avoid using fillers in the nose. It is not FDA approved and cause permanent discoloration and skin changes of your nasal skin.
Good Luck
Dr. Sajjadian
+2
Timing of Revision Rhinoplasty
As other plastic surgeons have already stated, one must wait an appropriate length of time even before considering revision rhinoplasty procedure. Three months is too early. The nose will continue change and gradually improves with time. Lastly, injectable fillers should not be placed in the tip of the nose due to significant risk of skin and cartilage damage. Speak with your rhinoplasty plastic surgeon for any concerns you may have. Best of luck.
You might also like...
Real Stories
Need Yet Another Nose Procedure - Orlando, FL
I am interested in a secondary rhinoplasty. My prior rhinoplasty was performed in 1998 and...
+2
Revision rhinoplasty timing for decision
3 months is much too early to make any decisions regarding revision. Furthermore, determination of the cause of the aesthetic issue is more complicated than meets the eye--it is really all about balance. Balance in contour from the top of the nose to the tip. Imbalance in width can give the appearance of unusual/untoward narrowing or widening. Also, the contour of the nose is difficult to determine without proper standardized photography.
Communicate your concerns with your...
more
+2
Wait Before You Consider Revision Rhinoplasty
First and foremost, it is too early for you know whether or not you should consider revision rhinoplasty. The nose will undergo significant changes during the first several months after rhinoplasty. As the swelling goes down, you may be more pleased with your results.
The general consensus among rhinoplasty specialists is that a patient wait for 12 months before proceeding with any revision. The reason for this is that it can take 12 months (or longer) for the majority of the...
more
+2
It's still too early to tell
Samra,
3 months is still too early to tell what your final result will be. Swelling often persists in the tip for several months, up to a year after surgery, and this alters the appearance of the early results. I have found that in some patients, the swelling can be even a bit worse with open rhinoplasty compared to closed, so I think patience is very important at this point.
Costs for revision surgery are variable and depend on several factors, including your agreement with the surgeon...
more
+1
Nonsurgical revision rhinoplasty may suffice.
Dear Samara;
Because it has been six months since the rhinoplasty surgery, most likely there are not going to be any automatic major improvements. Now, it is wise to wait a few months more if there is any question; it is not wrong to wait up to a year.
However, has your plastic surgeon considered the possibility that a nonsurgical revision rhinoplasty, consisting of using a filler to correct a depression, might not suffice? Without seeing you, it is difficult to tell...
more
+1
Revision rhinoplasty too early
You are way too swollen to make any decisions and shouldnt touch your nose for another 8-12 months as the issues you see now may be gone and new ones may appear. In open rhinoplasty you must wait a year or more. In closed rhinoplasty swelling may resolve in as short as 3-6 months which is one of the reasons that I never open the nose, I do everything through a 'closed' approach. Regardless In the picture you have posted there is no way to tell what is under the...
more
+1
Do I need a revision Rhinoplasty?
I have performed Rhinoplasty for over 20 years and from the photo, IMHO, the vertical indentation or grooves running through your nasal tip cartilages (not your supratip) are caused by the tip thinning technique used during your Rhinoplasty. The tip cartilages are shaped like commas and this technique places vertical cuts through the tip cartilages just off of the midline. This causes the outside cartilage segment to fall away from the thinner central segment creating the...
more
+1
Do I need Revision rhinoplasty at 3 months post op ... NO
You are a beautiful lady with what appears to be a nice looking nose. You may want to seek several different physicians regarding the expectations you have for your nose. There is an old saying, "the worst enemy of a good result is trying to make it a little bit better." That means the risk benefit ratio of what you have now may not be worth the risk of doing any more. No matter what you do, don't do anything to your nose for at least 9 months.
I hope this...
more
+1
Revision Rhinoplasty: Not to be considered lightly or too soon
My advice to patients is simple: Rhinoplasty result takes a year to fully develop and consideration is usually not given to a revision for 12 months. Rhinoplasty is a complicated procedure and revision Rhinoplasty more complicated still. It is best to undergo surgery when the conditions are optimal for the best result when inflammation has subsided.
+1
Wait for final results before Revision Rhinoplasty
Dear Samra, It is to early in the post operative phase to make a determination on your "pinched tip" complaint. Swelling persists in the tip for several months and up to a year following surgery. I would wait a full year and see how this resolves and then make a determination. Revision Rhinoplasty surgery costs vary from area to area and patient to patient. Without having the ability to do a physical examination and determine exactly what may need to be done is impossible to quote a fee. If...
more
+1
Do I Need Revision Rhinoplasty?
I think the best thing to do is wait. The healing process is still very active at the three months, and things may change. I know this can be very difficult, but I think it is in your best interest in the long run.
+1
Revision rhinoplasty
Yes you are still early out from your first surgery and you still have some healing. However if you are already showing the pinching chances are that this will not reverse, but may get worse as the swelling decreases and your tissues continue to contract.
Cost will vary on the surgeon you choose and their expertise
Dr Siegel
+1
"Pinched" Tip After Rhinoplasty
Samra
It would be helpful to have multiple views of your nose to give you more specific advice related to your “pinched tip”. That being said, your nose appears to have some collapse of the lateral alar wall. Tip swelling can accentuate this contour problem.
In any case, It is always best to wait 6 to 12 months after your primary surgery to consider a revision rhinoplasty.
Usually, the cost is more and recovery is longer for a revision...
more
+1
Requirements for a revision or redo rhinoplasty
Rhinoplasty is a meticulous surgery that addresses an aesthetic feature of the face. If you feel that your nose does not have the natural appearance you would want, that can only be determined by you. I would speak to your surgeon about correcting the elements that you are not happy with. This is a matter of personal preference.
+1
Re-evaluate before you revise!
Firstly, it is very early in your healing phase. The nose is unfortunately one of those structures that swells, and holds onto swelling. Despite the fact you are not bruised, you are still swollen. the swelling will continue to subside for the next 6-9 months. After this point of time, re-evaluate your result, arrange a follow-up visit, and discuss your concerns if you have any. Following this, you and your surgeon may come to a joint conclusion on whether...
more
+1
When to opt for revision rhinoplasty
After open rhinoplasty, there will be tissue swelling in the tip of the nose up to about 1 year after surgery. It would be best to wait until this time to make an assessment on whether you feel you'd like to improve upon the results.
It can be very difficult to make an assessment from non-standardized photographs. Lighting, shadowing and perspective can make it difficult to get an accurate impression of the nose so a face to face examination is important.
Regarding...
more
+1
When can a revision Rhinoplasty be done?
Surgeons recommend a year. The healing process has tapered down by that point. Revision surgery is hard, so to have everything going the best possible, its best to wait.
+1
Judgement Regarding Possible Revision Rhinoplasty
It is difficult to give you an accurate answer without further knowledge of what your nose looked like before and what specifically was done to your tip. Either way, it is still quite early in the recovery process to judge your current results. Give it more time to evolve - upwards of one year and possibly even beyond that given your skin thickness. A revision rhinoplasty in my office can range in price from $9500-11,000 including facility, anesthesia and surgeon fees. It is hard to know...
more
+1
Photos can be deceiving
It is not always possible to diagnose the precise nasal problem from a photograph. Light, shading, lens and background can affect the appearance. It is best to consult an expert in rhinoplasty to diagnose your problem. It is often best to start with a visit to the surgeon who performed your initial procedure to outline your concerns. Most surgeon like to wait one year before considering a revision procedure. One of my blogs answers many of your rhinoplasty questions....
more
+1
When to consider a revision rhinoplasty
After a patient has had a rhinoplasty, a small percentage of patients may choose to further modify their nose or correct in area that they feel was not impressed with the first surgery by receiving a revision rhinoplasty. It is important to only consider the surgery once your nose has fully healed from the first procedure. For this reason, we recommend that patients wait at least 10 months after their surgery before considering a revision. This will allow the swelling to go down and will...
more
+1
Wait on revision
Although you may need revision it would be unwise to do so this early. Your nose will change, and may change for the worse, but waiting is to your advantage.
+1
Need for Revision Rhinoplasty
No, you do not need a revision rhinoplasty; at least not three months after surgery. Your nose will continue to change for at least an additional six months, sometimes longer after an open procedure. If you and your surgeon ultimately feel the lateral aspect of your tip is too narrow, fillers are an option but I do prefer to use small cartilage grafts. Time may be the only treatment that will be needed.
+1
Wait final results before considering Revision Rhinoplasty
You may have a slight pinched tip, but it is difficult to be 100% sure without other views and/or seeing you in person. But, you still are swollen. You should give it about a year to see the final result before considering revision.
+1
You look pinched but it's too early for revision
You do have a pinched appearance but at only months it is still too early to know if any of this will improve as the swelling goes down. It is usually best to wait at lease a full year before considering any revisions of rhinoplasties and often enough improvement occurs in this time that revision isn't necessary.
Comments (0)