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?
Will Tip Change More or Just Slightly After Rhinoplasty?
Doctor Answers (7)
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.
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.
Over-projeceted nose tip after surgery
It is understandable that you are concerned especially with the over-projected nose tip. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that swelling takes time to subside as it masks the results of your surgery.
With the pictures posted, the lack of surgical details and the inability to perform a physical exam it is not possible to provide you with a definitive medical answer.
It is important to keep in mind that it is early to pass a judgment. Usually, a year is required before formulating how your nose will be. Even then, your nose will keep shaping itself and to complement your face for better results in the years to come.
My best recommendations at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling resolves, more definition and shape will be achieved and you should be happier with the results.
Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.
Congratulations on your surgery and please remain positive!
Ali Sajjadian, MD FACS
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Rhinoplasty Healing Process
You are only 4 weeks into a 6-12 month healing process. Your nose will continue to change throughout the next several months so give it some time to take its final shape. Keep in touch with your surgeon and possibly other patients that have gone through this process in order to help guide you through your post-operative course.
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.
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.
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.