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Will Tip Change More or Just Slightly After Rhinoplasty?

asked 1 year ago by bucks
Latest answer by Michael L. Schwartz, MD
Question viewed 623 times
Tags: nose tip, male, 1 month post-op, projection, revision, shrink, swelling

I am a UK man and just had open rhinoplasty now 4 weeks ago. All my swelling seems to have gone, but my nose now looks over projected, is this swelling in the tip or will I need a revision to reduce the projection. Does the tip shrink considerably more than this? Or does it more or less stay the same as it is now?

5 answers to Will Tip Change More or Just Slightly After Rhinoplasty?

+2

Don't Evaluate Rhinoplasty Result at 4 Weeks

Four weeks is way to soon to evaluate your results.  Especially as a man (thicker skin than woman), and as someone who had an open approach which blocks lymphatic fluid (swelling fluid) from escaping as easily.  And I would never do a revision at 6 months as the other surgeon suggested.  Always wait one year, even if it is obvious that a revision is necessary, the tissue will respond much better to your second surgery if it is a whole year after the first surgery. more
Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

www.dr-apo.com

+2

Over-projection after rhinoplasty

Compared to the profile preop, I actually think you have a very nice result here.  The third picture you presented with the modification is under-projected in my opinion.  It is also not realistic based on your preop projection.  In answer to your question, 4 weeks is pretty early postop.  You will definitely continue to see reduction in swelling and likely a slight loss of projection. 
Matthew Bridges, MD

Richmond Facial Plastic Surgeon

www.matthewbridgesmd.com

+1

Still swollen

Your swelling is definitely not gone. Your nose is going to continue to change over the next 6 to 9 months. Be patient and enjoy the process.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

Tip issue after Open Rhinoplasty.

The photos seem to have a bit of a distortion along the nasal tip but the clearest of these seems to show residual cartilage in the supra-tip area that is still higher than your nasal tip on profile, which aesthetically, it should not.  This would require a revision Tip Plasty at the very least, 6 months after this Rhinoplasty.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Overprojected tip at 4 weeks?

It's way too early to assess your result at this stage in healing. you have quite a bit of tip swelling which makes it hard to assess your ultimate tip projection. Given the overall reduction in size of your nose It will take over a year for your nasal skin to redrape, I suspect. Give it time.  
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon

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