Is This Just Supratip Swelling After Rhinoplasty?

asked 1 year ago by becky08 in Las Vegas, Nv
Latest answer by Sam Naficy, MD
Question viewed 1,121 times
Tags: 2 months post-op, downturned, swelling

I had rhinoplasty about 7 weeks ago. I know that it's still really early in the healing process but I'm somewhat concerned about my results. My old nose had a huge bump and hung over quite a bit. Now I have no bump but the tip is kind of strange and still overprojects/droops down. My nose is still hard in the supratip area but it never was very "squishy" even before surgery. What's going on? P.S. My right nostril is higher than the left but it was like that before surgery.

10 answers to Is This Just Supratip Swelling After Rhinoplasty?

Inadequate tip projection

It looks like yoyu have inadequate tip projection which was present before surgery and was not improved upon during surgery. Lifting the tip and applying surtures +/- a graft probably would have helped.

Steven Wallach, MD
Manhattan Plastic Surgeon

Supratip Swelling after Rhinoplasty

You are only 7 weeks after rhinoplasty, but at the present time you have supratip swelling and inadequate tip projection. Hopefully this will improve as swelling resolves. We call this a pollybeak deformity when permanently present; a revision would be necessary. If you choose to have additional surgery, raising the hanging columella would be helpful.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

7 weeks post-op

Seven weeks post surgery is still very early for you to judge the results of your surgery - having said that you may need a revision to establish tip support and correct the hanging columella

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Tip swollen after Rhinoplasty

The tip can be swollen for several months after a Rhinoplasty but since none of use know exactly what was done to your nose and tip during your Rhinoplasty, the best person to answer this question is your Rhinoplasty surgeon. Ask him/her to show you how your nasal tip was made smaller and more refined. Hopefully, this will ease your mind during the post op Rhinoplasty phase.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

7 weeks after rhinoplasty

7 weeks is way too early to make a final judgement. You still have significant amount of swelling that can take months to resolve. Having said that you should certainly keep in close touch with your surgeon. Tip rotation may not not be sufficient, supratip swelling (or excess cartilage...."beak" deformity) might be an issue, but overall be patient.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon

facedr.com

The fullness above your tip 7 weeks after Rhinoplasty Surgery may be swelling or residual cartilage.

I read your concern and reviewed your photos. It is conceivable that the bulge above your tip is just post-surgical swelling that will subside with time. You should see your surgeon and ask if a triamcinolone acetonide injection (steroid for swelling) might be beneficial for you. All the best from us in NJ. see video

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Supratip fullness

This is a common occurence after a closed rhinoplasty with dorsal hump reduction and no tip work done. yu will need further refinement with a tip graft and some dorsal crtilaginuous reduction at the supratip area. I would wait until the tissues have healed before undertaking a revision. it will require an open approach with a columellar incision. good luck

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Your nose can look better

I am not sure if your first set of picture are before pictures but I guess they are. You have inadequate dorsal reduction and not enough tip projection. The other point is the tip rotation and width. It is early for revision.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Rhinoplasty appearance seven weeks after surgery

Healing takes time, and healing of the tip of the nose takes a lot of time. It can easily be over a year before you see the final result of rhinoplasty at the tip of the nose. At seven weeks, it is too early to see the final result here. It is difficult to know how much improvement you may ultimately obtain. Let your surgeon know about your concern - they know exactly what they did, and what healing course you can expect. It may also be helpful to get extra... more

James Nachbar, MD
Scottsdale Plastic Surgeon

Adequate tip projection is necessary for a straight profile

You may have read about "adequate tip projection". Tip projection--the ability of the tip to hold itself up, independent of the height of the bridge, is necessary for a straight profile. The good tip shape that results from adequate projection also turns the tip up. Before surgery your tip hung from the bump--it was inadequately projecting, and unfortunately still is. However, the correction, which cannot be undertaken till you are healed, is... more