Revision Rhinoplasty: Q&A
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Upturned Pig-like Nose After Rhinoplasty
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.
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41 Doctor Answers |
Asked by
New lady
in UK
+6
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....
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+5
Upturned Nose After Rhinoplasty
My colleagues are right - 3 days is too early to judge your final results. Swelling, sutures, taping and splints can alter the initial shape. It is not uncommon for the tip to drop during the healing process. After 8 to 12 weeks, if you are still not happy with the tip rotation, discuss a possible revision with your surgeon.
+3
Too Soon to Judge!
Your concern is completely reasonable, it's just way too soon to judge!
In the first few days, the tip will look too high more often than not, due to the interaction of swelling, taping and the splint. The tip will often relax within minutes of removing the splint and tape.
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+2
3 days after rhinoplasty is too soon to judge results but...
It is too early to judge the results of your rhinoplasty. At three days, the swelling, dressings, and splints may have a distorting effect on the appearance. You may also feel that it looks too upturned, even though it is within normal aesthetic limits (especially if it was drooping significantly pre operatively). The angle between the lip and bottom edge of the nose should be 95-100 degrees, so this can be an objective measurement. ...
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+2
Upturned nose days after rhinoplasty: Please be patient!
It's much too early to predict your final result in the first few days. Immediately after surgery the nasal structures have been weakened and need time to heal and strengthen. Often surgeons will add extra support to the nasal tip with tape in the early period to support the nose until it gets stronger, and this makes the nose look upturned.
After first-time rhinoplasty, I would give it three months before making any predictions of the final result. If after a suitable time you...
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+2
Rhinoplasty and Upturned Tip
New Lady, I would just try and be very patient with the healing process. First off, as others have noted here, your bandages should still be in place that would preclude you from even seeing what your nose looks like underneath. I normally leave rhinoplasty bandages in place for about 5-6 days. Even without bandages, your nose is expected to be quite swollen and probably over-corrected in terms of the tip position. In rhinoplasty cases where we are elevating the nasal tip, most rhinoplasty...
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+1
Unhappy 3 days following rhinoplasty.
At this point, I presume you still have an external stent on the nose. This combined with all the swelling will make it very difficult to accurately assess the result. Usually, at three to six months it will become apparent whether a revision will be necessary which should be delayed until 1 year following the original surgery.
Mario J. Imola, MD, DDS, FRCSC.
+1
Three days is too soon to tell. The patient
Your concerns are common after tip rotation rhinoplasty. For three days out, I assume you probably still have a cast and tape on your nose. With this on, it can be very hard to tell your true tip position. Also, individuals can frequently have tremendous concerns and emotions immediately after rhinoplasty surgery. Rightfully so, it is your nose! However be a little patient. Even when the tape and cast is removed, your tip position may still seem overly rotated, this...
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+1
Upturned nose
Although I agree with previous posts, about the swelling causing the tip to be upturned, if the tip was over-rotated during surgery even when the swelling decreases the tip will remain too high. Pictures may be helpful.
+1
It is too early!
Unfortunately you haven't even reached full swelling postoperatively yet. The nasal tip will temporarily turn up in patients when it is swollen. As time goes by and the nasal tip swelling comes down, the tip will deflate and rotate back down into a more cosmetically appropriate position. I would be patient and give it time. Ask your surgeon for tip deswelling exercises that you can do to help this process along.
Good luck,
Dr. Shah
+1
It takes time
Many of my patients have concern about the appearance of their nose immediately after surgery. Very often this has to do with swelling. For example there nose may look asymmetric, the tip may appear bigger, etc. Many of these concerns abate with time. An up-turned nose is not usually on of those concerns. The rotation of the nose is unlikely to go "down" over time. In point of fact - many patients will see a subtle increase in rotation over time. So - it is possible that your...
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+1
Upturned, Snout-like or Piggy Nose following rhinoplasty
It is far too early to judge the long term outcome of your rhinoplasty (nose job). Nose frequently appear to be snout-like or upturned or piggy during the first couple of weeks. In most instances this settles by 3 weeks and is markedly better by 6 months. If you are upset with the appearance discuss it with your surgeon and he/she may instiute massages that could expedite this process.
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Post-Rhinoplasty 3 day Expectations
While I am not sure just how much your nasal tip was rotated up, I advise all my patients to expect some dropping of the tip with healing - usually somewhere around 3 to 5 degrees from the angle made with the upper lip.
+1
Rhinoplasty Remorse
A Rhinoplasty is a very precise technical operation that produces significant post operative swelling and may take at least a year to see a final result. Having performed many, I have seen a wide variety of reactions and concerns from patients in the initial post operative period, that are ushered in with relief when the nasal splint is removed at 7 days. It is too early to make any estimation of how your nose will look or what your surgeon intended by the operation....
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+1
3 days is too soon to judge rhinoplasty results
3 days is way too soon to judge the results of a rhinoplasty. It can take months to see the results. Your nose is going to evolve over the next few months. Don't fret. Relax. It is truly hard to see the final result so early after surgery. You can start seeing the true results at about 6 weeks, however you will not be able to see fine definition at this point. It will take months for the swelling to subside to slowly see the fine detail.
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+1
Nasal tip and upturned tip after rhinoplasty
The upturned nose may reflect an artifact of the differential swelling of the tip and the splint placement on the dorsum. I would wait one week for the swelling to resolve.
+1
Piggy nose after rhinoplasty
It is normal for the nose to look upturned after rhinoplasty. Please do not judge the nose for 1-2 weeks, after which it will slowly start to look normal. Remember, the final nose will not be evident for several months, and it can take up to 1 year for all of the swelling to come down.
+1
Pig nose after surgery.
Its still very early!! Your nose will come down as the swelling goes down. You should not judge your nose for many months. If you do have issues with your final results I would not recommend a revision for a minimum of 6 to 9 months. Talk with you physician as I am sure he will make you feel better. If worse comes to worse revision surgery is always an option.
Good Luck.
+1
3 days After Rhinoplasty
3 days after a Rhinoplasty, I would expect that the nose is still taped and that you are wearing some form of nasal splint. Although it may be very hard for you to avoid anxiety, 72 hours postop is not a good time to start analyzing your result; it will take at least a year for your result to fully unfold. Taping after Rhinoplasty is designed partially to act as a tip supporting measure and can exaggerate the rotation of your nasal tip. Secondly, if you had a very drooping nasal...
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+1
Overcorrection of the tip of the nose can be corrected but might require an implant.
3 days is too early to make a pronouncement about the outcome of a rhinoplasty. If, however, your problem persists, the tip will need to be pushed into the correct position. The angle between the columella of the nose and the upper lip should be 90-100 degrees. This might require an onlay graft to push the tip cartilages into their rightful position.
+1
Rhinoplasty Post-op Concerns
Patience is definitely a virtue following rhinoplasty surgery. I usually explain to patients that you don't see a final result following rhinoplasty for a full year. So, at 3 days you should not even concern yourself. It is simply too early to assess. And certainly too early to even be thinking about a revision. Swelling is probably at its worst now and any bruising may further contribute to the early post-op appearance that is concerning you. Give it...
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+1
Upturned nose after rhinoplasty
Being only 3 days out from your surgery your nose will continue to evolve as the swelling goes down. It is quite common to get a significant amount of tissue swelling at the base of the nose which will cause the nose to appear upturned. This should settle down during the first few weeks of surgery especially. I would certainly suggest mentioning your concerns to your surgeon, however, as your surgeon would best be able to give you a sense of how everything is progressing.
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+1
Rhinoplasty appearance 3 days after surgery
It is not possible to evaluate the nose at 3 days after surgery with a cast, splint in place. Patience is the key early on with the nose. Once the swelling has dissipated, a better evaluation of the nose can take place.
+1
Be Patient for Swelling to Resolve
I would voice your concerns with your surgeon. This does not sound unusual for being 3 days out from nasal surgery. Be patient. Warmest regards, Dr. Pippin.
+1
It is not possible to know the final result of the rhinoplasty so soon
Rotation of the nose is a common technique in a rhinoplasty and can yield pleasing results. At three days after surgery the nose is swollen and the tissues have not healed to know the final result. It is best to consult the surgeon who performed the procedure and express your concerns.
+1
Three day old rhinoplasty
First, three days after your rhinoplasty I would expect you to still have the splint on. The early swelling can lead to distortions which will look nothing like your final result. Don't over-scrutinize or obsess with what you see right now and trust the process. Months from now, if you still don't like the result, get several opinions for a revisional surgical approach. Check with some trusted friends in about a week or two to get a more...
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+1
Nose appearance shortly after surgery
At 3 days after surgery your nose should still be in a cast, which makes it nearly impossibly to tell wht your final result will be. Hoppe you chose your surgeon well, and your final result will turn out like you wanted. As you probably have learned by now rhinoplasty is one of the more difficult procedures for a surgeon to master. same. In my practice we offer computer imaging to our prospective rhinoplasty patients, so that the goals and aspirations of the patients can be...
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+1
Upturned nose after recent rhinoplasty
Rhinoplasty is a popular and effective surgery to recontour the shape of your nose. Immediately after a rhinoplasty, you will have swelling in your nose but this swelling is usually not uniform. It is possible that he may have excess swelling in the nasal tip and that the swelling when in dissipates, the tip of your nose won't be so upturned. At this time, a cold compress can help manage some of the swelling but it is best to be patient until you reach your final rhinoplasty result in...
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+1
Don't Analyze Your Nose Too Soon After Surgery
At 3 days your nose is not at all what it is going to look like. In fact, I would be concerned if your nose had the goal-appearance at this point becuase it will definitely look a lot different as the weeks and months go by. All parts of your nose change a lot with healing, but especially the tip. The width and how turned up or down the tip is change dramatically over the first few weeks and continue to change for 1 to 2 years after surgery.
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+1
Upturned nose right after rhinoplasty
You are experiencing normal post-operative changes. After a rhinoplasty there is swelling and bruising that may confuse you early on. The swelling of the tip makes the tip look big and swelling between the nostrils will push down making the angle between the nose and the lip very steep - or "pig-like". Swelling will be prominent for 10-14 days, and then it will recede.
Healing takes months, however. So, you are just in the very early stages of...
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+1
Upturned nose
It is much too early to analyze your results. Swelling and many other factors affect the early appearance after rhinoplasty. I would follow it carefully with your surgeon and try to relax. It is probably going to be fine.
+1
Post op buyer remorse
You should try to relax. Its very early to be analyzing the results. Noses often appear too up turned at this point. As the swelling drops, so will your nasal tip. Its a very stressful time right after surgery. People unfortunately have to wait for healing to happen. Its possible the nose was over rotated, but its more likely it will look fine when the dust has settled.
+1
Upturned nose due to post operative swelling
Since it has only been three days after your rhinoplasty surgery, the nose will look turned up, most likely from swelling, in the initial postoperative phase. No decision can be made about revision nasal surgery at this point until approximately one year has passed. The nose does settle down after a rhinoplasty, but how much also depends upon which techniques have been performed on the tip.
+1
Rhinoplasty
Having a down turned nose to start with and then wanting it raised a bit is something that can easily be done in Rhinoplasty surgery. It may look over corrected during the early post-op period but usually settles down when the swelling subsides. Give it some time to heal before getting too alarmed.
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Final Rhinoplasty results may take some time
Rhinoplasty is like fine wine. The results your plastic surgeon created in the operating room often take up to a year to finally see on your face. Most certainly, 3 days is too brief a time to make a judgement as to the outcome. The subsequent recovery time may be difficult at first but patience can be very helpful. As a doctor who performs many secondary rhinoplasties, revision is never as easy as is the intial procedure, so wait and think long and hard before considering a revision. Good Luck!
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+1
Wait and discuss your rhinoplasty results with your surgeon
I believe you stated that you had rhinoplasty 3 days ago. Wait until at least your doctor has the chance to remove splint and stitches, and then judge the result.
If you have the trust in your doctor to let him operate on you, at least wait until he sees you, and then discuss your concerns.
+1
Patience, not a virtue but a necessity
Your surgeon should have explained that final results from rhinoplasty can take a while. If you did your homework and you trusted your surgeon, you need to give the surgery a chance to heal, three days isn't it. A little turn-up of the tip after surgery can be normal and temporary.
Most problems with rhinoplasty can be corrected but it is another major mistake to force a corrective surgery too soon after the original surgery.
+1
It is too soon to get upset about your rhinoplasty - It is probably swelling
Having your nose slightly upturned immediately after rhinoplasty is a normal occurrence. This happens because swelling tends to pull the tip upwards and pull the columella downwards somewhat. If your nose is taped, the tape can also contribute to this effect.
Don't be too concerned just yet. This will get better over the next couple of weeks as the swelling subsides.
I'd advise you to talk to your surgeon about your concerns. He can tell you what was done during your procedure and what you...
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+1
Hold on! Your rhinoplasty results will likely improve with time
I totally understand your feeling of panic- I would feel the same way.
Obviously, I haven't examined you but let me give you at least some reassurance. First, you are shocked because you have never seen your nose like this before, so ask a friend who will be honest with you for an opinion. That may help you get grounded for now.
Here is the truth about rhinoplasty. What you see now, is not the final product by a long shot! Your nose will continue to change for up to two years. Sounds...
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+1
Too early to worry about your rhinoplasty results
Dear New Lady:
If your rhinoplasty was only 3 days ago, then I assume that your nose is still taped and in a splint. The area under your nose is also swollen. All of these factors make your nose appear to be turned up excessively. This is a common concern at your stage of the recovery. Give it a few months to settle down. Nasal tips always come down a bit in the first few months after the surgery.
+1
If nose tip doesn't settle, revision rhinoplasty will fix it
Hopefully what you describe is just temporary. Oftentimes, the nose will settle, and the tip will drop back down to a more natural position. Unfortunantely, this may take a few weeks. Massaging the tip and bridge of the nose downward will also help.
In the outside chance it doesn't correct itself, a revision may be performed that will correct it. If it comes to that, I would find a surgeon who is very experienced in revision rhinoplasty. It will most likely turn out well.
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