Von Graham, MD

The short answer is yes, I believe this procedure would be beneficial to you. Your Facial Plastic Surgeon and you should look at your nose as a whole. To get the desired results you are looking for may not only require rotating and resupporting your tip but also changing the projection of your dorsum to match it. You appear to have what I call a plunging tip(which is accentuated when you smile) due to your tip cartilages overidding your dorsal support allowing it to fall. They are further pulled down when smiling due to an overactice depressor septae muscle. This can all be addressed surgically but I would advise you  not go into your consultation with a specific procedure in mind, just a specific result.

I routinely remove splints and tape at about 1 week. I do not feel taping is beneficial after that point. People with thicker, sebaceous skin tend to swell more and take a little longer with swelling resolution. Be patient and give it time. Eighty percent of swelling is typically resolved within 6-8 weeks.You are not quite half way there. Molding exercises as well as avoiding salty foods and heavy exercise is advisable during this time period. You may require some small steroid injections down the road for optimal results. Good luck!

Looking at your photos, a lateral view would be helpful. As far as your lips, a lip lift procedure is the last thing you need as you already have excess dental show and that procedure would only exacerbate it. Adding some volume to the central part of your upper lip would help with this. A rhinoplasty could refine your nasal tip and a conservative alar base reduction may help.

You certainly should let your surgeon know immediately if you haven't already. I am sure he/she will want to see you to evaluate the problem. Sounds as if you have developed an infection that needs to be treated. A post-op infection after facial surgery is thankfully rare but needs to be addressed quickly if it does develop. Infection can be treated with antibiotics but if an abscess has formed it will need to be drained. This may increase your healing time but if treated appropriately it will heal. Any residual defects can also be addressed after swelling has subsided.

Smoking and drinking during the immediate post op period can affect your healing and swelling. Having said that, this amount will probably not cause disastrous results but it is definitely not a good idea. Also avoid being around second hand smoke for at least the first month. A more important factor would be if you were a regular smoker prior to your procedure then your healing capabilities are significantly diminished. Avoid this behavior for best results.