9 Years Post-Rhinoplasty is It Normal to Not Be Able to Push Down on the Tip of Your Nose? (photo)

I had Rhinoplasty done when I was 16 and I am now 25. For a few years I wasn't able to push down on the tip of my nose without it feeling sore. Now when I push down on the tip of my nose it feels like there is a piece of bone that prevents me from pushing it down. Is that normal? Also, in photographs you can see an indentation where the bone was taken out of the bridge of my nose. Is there any way to fill in the hole?

Doctor Answers 7

Rhinoplasty revision

It is unclear from your posted photos exactly what is going on. It is hard to even tell of the nose is straight or crooked. There is however a visible inverted V shape. This could be improved dramatically by placing cartilage grafts over the bridge.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

9 Years Post-Rhinoplasty is It Normal to Not Be Able to Push Down on the Tip of Your Nose? (photo)

Even with posted photos the best way to obtain an answer is in person consultations from boarded docs in your city. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Tip issues and bone issues

The tip may have a graft that keeps the tip firm.  As for the bone, this may be corrected with further surgery. Without an exam it is hard to say.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Defect and firm tip after rhinoplasty.

The defect where the bone was removed can be corrected, probably with a small graft or adjustment of the upper nasal bones.  As far as the tip is concerned it is important to remember that you have scar tissue there that will be a lot stiffer than an un-operated tip.  If you have a good tip contour I would leave it alone.

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 45 reviews

9 Years Post-Rhinoplasty is It Normal to Not Be Able to Push Down on the Tip of Your Nose

You probably had a cartilage graft placed in the tip of your nose -- this is what you feel when you push your tip down.  It is very common to have a "firmer" tip after rhinoplasty depending on technique used; on the bright side, "firmer" tip means more stable tip that is less likely to droop.

Your dorsum has inverted V deformity -- this is usually corrected with spreader grafts with or without revision osteotomies.

Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 30 reviews

Rhinoplasty and the inverted V deformity.

Rhinoplasty and the inverted V deformity can be corrected with fillers or permanently with revision surgery. The firmness of the tip push down is normal.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

9 Years Post-Rhinoplasty

Based on your photos it appears that you have an inverted V deformity and would be a good candidate for surgery, but an in person examination would be essential. The firmness you describe may be a graft in the columella/tip.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

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.