Possible Tip Collapse 18 Months Post Rhino? (photo)

I had rhinoplasty almost 18 months ago. I didn't notice anything wrong with the tip until right around a year post op. I think it may have still been swollen. It is hard to tell in the picture but the right side of the tip is kind of angled and flat and does not match the other side of the tip. Can this be improved with fillers? It would be really great if it could as I really do not want another surgery.

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9 Doctor Answers | Asked by tinkerbell42 in Roseville, CA

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Filler correction to improve rhinoplasty results

It is not uncommon to see some tip changes a year or even longer after a rhinoplasty. Unfortunately, your photos are very difficult to comment on. It is possible to use fillers (wether temporary or permanent) to correct small defects or asymmetries after rhinoplasty. Fillers are more commonly used on the dorsum though, although can be used on the tip as well. They need to be used on the tip with more caution, since the skin there is tighter and blood supply may be... more

Asymmetrical Nasal Tip At 18 Months After After Rhinoplasty

Hi, Delayed tip collapse happens when the structural integrity of the nose is violated; sometimes it takes place as a delayed reaction when nasal parts/grafts settle (cartilage absorption may take place if used). Fillers are a temporary fix and cannot reflect the same results a corrective surgery can have over your nose hence your entire face. It is perfectly normal that a patient feels uncomfortable and not ready for a corrective survey when he/she had their first one soon;... more

Tip asymmetry following rhinoplasty.

Your surgeon has the best idea as to what may be causing the tip asymmetry. The possibilities are directly related to the various maneuvers performed to the initial surgery and can include one or more of the following: Asymmetric cephalic strip resection. Asymmetric domal sutures. Asymmetric lateral crura setback procedures. Asymmetric cartilage grafts. Fillers can improve things but not give the best possible result. Furthermore, they are... more

Possible Tip Collapse 18 Months Post Rhino?

It's more likely that there were tip grafts, perhaps crushed cartilage, that dissolved at 12-18 months after the Rhinoplasty. These were most likely placed to soften the nasal tip after resection of the tip cartilages. You'd most likely be better off having a few consultation with Rhinoplasty Surgeons to explore your options.

Tip collapse

This type of delayed tip collapse is something that can happen after rhinoplasty. This is one reason why we must focus on the structural integrity of the nose during surgery. I don't recommend placing fillers in the tip of the nose. It would only give you a temporary improvement and there are risks of permanent damage to the skin which is ultimately very difficult to treat. I can understand not wanting another surgery, though. If it is something that bothers you it may be worth... more

Tip issues and filler?

Tip collapse can happen. I am not a big fan of fillers for nasal rejuvenation, it will only be temporary.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Possible Tip Collapse 18 Months Post Rhino

To answer your question YES tip collapse can occur anytime. But your posted photos are of no help.

Tip Collapse 18 Months after Rhinoplasty

In my practice I have very limited indications for a revision with fillers . Fillers will correct the asymmetry of the tip cartilages but will do nothing for the nostril asymmetry. I suggest you consider a revision of the tip including the nostrils which will be much easier than the original surgery. This can be done with just local anesthesia.