I had my Rhinoplasty surgery done 3 days ago and am very concerned about my nose now. I had a downward turned tip, which I asked to be corrected. but now when i look at it, it seems to have gone totally opposite and now looks upturned like a pig's nose. I am very concerned as I have so many events to go to and i feel it's a drastic change and not a subtle one. I trusted the doctor and asked him to work with it to suit my face, but now I'm very very worried and feel people will comment. Can this still be corrected? I think I'm going to need revision surgery, but I am also very worried about it being made worse and people laughing at me. I wish I had not done this now.
Answer: Tip rotation after rhinoplasty
The upturned tip you are describing three days out from rhinoplasty is perfectly normal. The swelling at the base of the nose and upper lip as well as the tape and splint are contributing to this "upturned" look. Once the splint comes off (around day 6 or 7) and the majority of the swelling resolves (around day 10), your nose will look significantly different. We usually recommend giving the nose a full year to settle down before even considering any sort of revision surgery. Do not fret! Regards, Dr. Mehta
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The upturned tip you are describing three days out from rhinoplasty is perfectly normal. The swelling at the base of the nose and upper lip as well as the tape and splint are contributing to this "upturned" look. Once the splint comes off (around day 6 or 7) and the majority of the swelling resolves (around day 10), your nose will look significantly different. We usually recommend giving the nose a full year to settle down before even considering any sort of revision surgery. Do not fret! Regards, Dr. Mehta
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CONTACT NOW Answer: 3 days post-op: overly rotated Hello and thank you for your question. At three days postop, your nose is extremely swollen. This will likely improve with time. However, depending on the surgical techniques used by your surgeon, it may remain overly rotated. Give it a lot more time and eventually if it does not derotate, then you may want to seek experts for opinions regarding a revision. For now, I recommend that you maintain close follow-up with your surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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CONTACT NOW Answer: 3 days post-op: overly rotated Hello and thank you for your question. At three days postop, your nose is extremely swollen. This will likely improve with time. However, depending on the surgical techniques used by your surgeon, it may remain overly rotated. Give it a lot more time and eventually if it does not derotate, then you may want to seek experts for opinions regarding a revision. For now, I recommend that you maintain close follow-up with your surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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October 13, 2023
Answer: Be patient Hi! After undergoing rhinoplasty, it's common for patients to notice changes in the appearance of their nose that might not align with their final desired result. Specifically, in the first 2-3 months post-operation, the tip of the nose can often appear more upturned than intended. This upturned appearance is typically due to the tension in the tissues from the surgical alterations and the natural swelling that ensues following such a procedure. As the nose heals and the swelling gradually subsides, this upturned look should start to settle and the nose will evolve into its more permanent shape. However, if by around 6 months post-surgery, the tip remains noticeably upturned and doesn't seem to be improving, it may indicate that the surgical result is not as intended. In such cases, a revisionary surgery might be necessary to achieve the desired outcome. It's always essential to maintain open communication with your surgeon throughout the healing process to address any concerns and discuss potential next steps.
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Answer: Be patient Hi! After undergoing rhinoplasty, it's common for patients to notice changes in the appearance of their nose that might not align with their final desired result. Specifically, in the first 2-3 months post-operation, the tip of the nose can often appear more upturned than intended. This upturned appearance is typically due to the tension in the tissues from the surgical alterations and the natural swelling that ensues following such a procedure. As the nose heals and the swelling gradually subsides, this upturned look should start to settle and the nose will evolve into its more permanent shape. However, if by around 6 months post-surgery, the tip remains noticeably upturned and doesn't seem to be improving, it may indicate that the surgical result is not as intended. In such cases, a revisionary surgery might be necessary to achieve the desired outcome. It's always essential to maintain open communication with your surgeon throughout the healing process to address any concerns and discuss potential next steps.
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September 29, 2021
Answer: Post operative tip angle I am so terribly sorry that your surgeon did not spare you this worry by explaining to you how the nose will look postoperatively! In my practice, we explain in detail that having an upturned nose at day three is perfectly normal. If I were in your position and nobody had explained this to me, I would be as nervous as you. So rest assured, please know that it is very common for the tip to be temporarily elevated due to swelling, and due to the sponges that help reduce swelling. It will settle into a lower postoperative position. As a specialist in rhinoplasty and rhinoplasty revision, I even have my staff give you a detailed explanation (written on paper, no less!) about what to expect to spare you this nervousness. Being a good surgeon is not only about producing excellent results, but is also about honoring the emotional process that the patient experiences.
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Answer: Post operative tip angle I am so terribly sorry that your surgeon did not spare you this worry by explaining to you how the nose will look postoperatively! In my practice, we explain in detail that having an upturned nose at day three is perfectly normal. If I were in your position and nobody had explained this to me, I would be as nervous as you. So rest assured, please know that it is very common for the tip to be temporarily elevated due to swelling, and due to the sponges that help reduce swelling. It will settle into a lower postoperative position. As a specialist in rhinoplasty and rhinoplasty revision, I even have my staff give you a detailed explanation (written on paper, no less!) about what to expect to spare you this nervousness. Being a good surgeon is not only about producing excellent results, but is also about honoring the emotional process that the patient experiences.
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June 30, 2021
Answer: Too Soon to Determine the Results As you have raised this question only three days after your surgery, it was too early to have an idea how the nose would settle. At this point I would advise patients not to be concerned, there is still major swelling and the splint should be kept on the nose until the first post-op appointment, which usually takes place 10-12 days after the surgery, however this always depends on the surgeon's instructions. If the concerns persist, I would advise to discuss the procedure as well as the outcome and recovery on your first post-op follow up with the surgeon, who would be able to advise and reassure you.
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Answer: Too Soon to Determine the Results As you have raised this question only three days after your surgery, it was too early to have an idea how the nose would settle. At this point I would advise patients not to be concerned, there is still major swelling and the splint should be kept on the nose until the first post-op appointment, which usually takes place 10-12 days after the surgery, however this always depends on the surgeon's instructions. If the concerns persist, I would advise to discuss the procedure as well as the outcome and recovery on your first post-op follow up with the surgeon, who would be able to advise and reassure you.
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January 20, 2021
Answer: What to expect from your rhinoplasty recovery I appreciate your concern, but I assure you it is far too early to begin worrying about your results. The nose takes a significant amount of time to heal after this surgery, and most patients will not see their full results for a year. I encourage you to take a breath, follow your surgeon's instructions to the letter, and discuss your concerns at your next follow-up appointment. My guess is you will begin to see the improvements in your nose in the upcoming weeks and months, which will give you a better idea whether your surgery was successful. Most surgeon won't even talk about revision surgery until patients hit the one-year mark for this very reason.
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Answer: What to expect from your rhinoplasty recovery I appreciate your concern, but I assure you it is far too early to begin worrying about your results. The nose takes a significant amount of time to heal after this surgery, and most patients will not see their full results for a year. I encourage you to take a breath, follow your surgeon's instructions to the letter, and discuss your concerns at your next follow-up appointment. My guess is you will begin to see the improvements in your nose in the upcoming weeks and months, which will give you a better idea whether your surgery was successful. Most surgeon won't even talk about revision surgery until patients hit the one-year mark for this very reason.
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