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Nose Upturned During Rhinoplasty Without Consent

My nose was turned up "slightly" without my consent during my Rhinoplasty 7 weeks ago. The doctor admitted to this recently. It has been a "drastic" change as it's very turned up. As time passes, the tip is turning up even more. My nose is very short and it's not coming back down as swelling settles. Why would a surgeon decide to do this if we agreed not to (as my angle between tip and lip was around 100 plus degrees)? The treatment was to only correct small hump. I would appreciate a surgeon's advice on how I should address this? With him? Thank you.

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8 Doctor Answers | Asked by nurseB in Vancouver, BC

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It will change but.....

Hi, First off as time passes over the next 3-6 months the tip SHOULD drop down some. This is due to resolution of swelling and softening of tip support. However, if you think its actually turning up more at the 2 month post op point then thats not a good sign. The question you need to ask him now is what did he do to make it turn up? Did he resect cartilage from the "caudal septum?" Did he do a "cephalic trim" of your tip cartilages? Did he place permanent sutures to... more

Rhinoplasty; Unwanted Upturn of Nasal Tip

Hi Nurse B, The best way to address you concerns are directly. Schedule a consultation with your surgeon to discuss what his thought process was. Hopefully there were not any maneuvers to actively increase the rotation of your tip, and over time it will settle. Sorry to hear of your unsatisfactory experience thus far, but it does emphasize the importance of clear communication between patient and surgeon before surgery. I hope that you nose settles to your liking. Be well. Dr. P... more

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Gravity will help your nose turn down after Rhinoplasty.

The tip of the nose almost always drops with time. You're only 7 weeks post-op, and you should expect further improvement in your appearance. Best regards.

Eric M. Joseph, MD

204 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

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Give some time

First, the tip should fall with time. Once the swelling diminishes, it will drop a bit. It may not drop enough to make you happy, but there will be a change. Second, after 6-9 months f you are still unhappy with your nose, speak to your surgeon and discuss your options for revision/correction. It would be wise for you to get a second opinion to help your decision making at that time. Seeing someone else right now will likely not change the outcome since they would want you to wait for at... more

Upturned nose

Initially post-op, the nose becomes a bit upturned. It may eventually fall a bit as time goes by. You have to give it some time probably 6 months to a year. This is something that you will have to work out with your doctor and follow-up.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Your nasal tip will drop in 6-12 months

The most common problem with rhinoplasty is caused by the drop of the nasal tip which happens in almost every rhinoplasty. When the tip drops the bump or hump on the dorsum of the nose returns and patients are always unhappy. Because of this most surgeons elevate the tip at the time of surgery to compensate for the expected drop of the tip over time. Be patient wait 6-8 months and your tip will be lower.

Upturned Nose After Rhinoplasty

If you have seen your nose to turn up more over the last month, then it is unlikely that it will drop down again. Tip position in regards to rotation is a dynamic issue determined by many variables. Even a hump reduction by itself can cause uprotation of the tip. In addition, small refinements of the tip can turn up the nose even further. Certainly, noses that are already up-turned are prone to more rotation with most rhinoplasty maneuvers; noses with droopy tips need to be forced up if... more

Wait for 6-12 months.

The elevation may drop with the time above. If it does not, you should discuss this with your surgeon and see what he proposes to do. If you are not satisfied seek a second opinion from an experienced revision rhinoplasty expert.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.