Nasal tip derotation - use of septal extension graft to lift the tip - short nose

Based on your two before and after photos, I'm not sure for the surgical intervention is warranted. Additionally, you are only 5 months post-operative. I would wait a full year since you will see some changes in the tip of your nose, and you may end up becoming satisfied with how your nose looks with time.

Hello and thank you for your question. After waiting more time, based on your photographs, you may benefit from a revision with tip derotation. In order to perform tip derotation, all scar tissue needs to be released and extended spreader grafts can be placed to derotate the tip. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Given that you are 5 months post-op, I recommend that patients wait until they are 1 year out to allow for adequate healing and to see final results before considering revisionary surgery. If you are unhappy with your results after adequate healing, a revision rhinoplasty could address your tip rotation and position on your profile view, however it is less likely to return your nose to pre-surgical appearance on frontal view. This is because in increasing tip refinement and correcting a bulbous tip (pre-operative) the lower lateral cartilages are often partially resected and repositioning.
Sean M Fisher MD