16 months post-op after third rhinoplasty- is revision assessment worth considering? (Photos)

May 2, 2025
Asked By:Madalynne

Hi Doctors, I’m about 16 months out from my third rhinoplasty (January 2024), which included osteotomies and was done to refine some lingering asymmetries and improve the overall contour. Since then, I’ve had Kenalog and 5-FU injections, which helped slightly, but I’m still noticing: Ongoing fullness in the supratip area, especially on the right A bulbous appearance to the tip, more pronounced on one side That supratip area feels spongy, not firm like bone, but not soft like fluid either My surgeon has mentioned it’s difficult to tell whether the issue is related to swelling, scar tissue, or possibly something structural. I know healing after multiple surgeries can take longer, but at 16 months I’m starting to wonder if this is as resolved as it’s going to get. I’d really appreciate your thoughts on: Whether this kind of tissue texture and contour is typical this far out Whether further Kenalog could still help If imaging or revision assessment might be worth considering at this stage Thank you for your time.

5 photos

Answers (1)

From board-certified doctors and trusted medical professionals
MOST RECENT
May 7, 2025

Answer: Revision rhinoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon
MOST RECENT
May 7, 2025

Answer: Revision rhinoplasty

Richard G. Reish, MD, FACSBoard Certified Plastic Surgeon

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Revision Rhinoplasty

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  • 86% worth it
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