I had a tip plasty a year ago and my tip is actually larger and more bulbous than it was before the surgery. Is this normal or should I consider getting a revision to have it reduced? I don't want to revise it and then it turn out too small because it wasn't done shrinking. Please advise.
Does Tip Get Bigger Before It Shrinks?
Doctor Answers (5)
Large tip one year after rhinoplasty
Although we usually consider swelling and healing complete after one year, this is not a universal rule. In some patients with thicker skin, it can take longer and the nose may continue to change after the one-year mark. If you have thin or medium-thickness skin, you may consider a revision at this point. However, it should be kept in mind that a revision of a tip that is large due to scarring requires special consideration on the part of the surgeon for a successful result. I would seek the opinion of a rhinoplasty surgeon experienced in revisions to counsel you. Best of luck. M. Samaha, MD
Dear Shelly, Hello, you share the same name as my lovely wife! Rhinoplasty swelling may take an entire year to fully dissipate and the tip is the last swelling to totally resolve itself. With this said I find the majority of the swelling dissipates in the first 3 to 6 months and the last 30% in the final year. Depending on ethnicity and skin type you may have some residual swelling that lasts longer then that. I would suggest going to see your surgeon review with him your preoperative photographs so you may evaluate where you are in the recovery phase and propose a proper plan. Best regards! Michael V. Elam, M.D.
Nasal tip swelling after rhinoplasty
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Appearance of tip after a year
After a year I would consider the swelling in the tip to be completely gone. I would suggest revision if you are still unhappy though without seeing photos it is hard to tell you how much more improvement you could expect.
Bulbous Tip After Rhinoplasty
Without the before/after photos, the details of your surgery and a physical examination it is hard to provide a solid a diagnosis.
Nonetheless, most of the patients take about 12 months to achieve the final results whereas others with thick nasal skin take more to meet the end results of a rhinoplasty.
I hope this helps.
Thank you for your inquiry.
The best of luck to you.