Amorphous Nose at 4 Months Post-op, Dr Doesn't Believe is Using Steroid Injections, Other Options for Swelling? (photo)

Question

Hi, I had a rhino about 4 months ago and I have significant swelling in my supratip and tip. My PS is not concerned and told me he doesn't believe in steroid injections and also suggested more surgery! He is a top rated doctor in the boston area though so I want to trust him. I know I have to give it time to heal, but at the same time, is there is something I can do to help things along? I've included my before and projected pics as well. Will my nose look like the projected photo?

Sam Naficy, MD, FACS · Answer

Based on your photos it is not likely that you will get the projected image but you will continue to see changes in the nose up to and often beyond 1 year.  In general it is a good idea to wait about one year before seeking a revision.  There are a number of good reasons for this, which your surgeon can discuss with you.

Eric M. Joseph, MD · Answer

I read your concerns and reviewed your photos which are limited:

	You appear to have irregularities at the top of your nasal bridge, and fullness above your tip. I'm not sure if the fullness above your tip is swelling or under-resection of cartilage. In that regard, you may benefit from a second opinion from a reputable rhinoplasty surgeon to determine what might be best for you.

	Hope this helps you.

	Dr. Joseph

Philip Solomon, MD, FRCS · Answer

You do appear to have  fullness along the  nasal bridge and somewhat amrphous overprojected nasal tip.  You may benefit from steroid injections which can reduce swelling of the supratip  but ultimately you may need to have a revision procedure to achieve your goals.  It appears as if you have thicker skin  and have still have excess cartilage along the dorsum.  Your nasal bone has been lowered more than the cartilagenous dorsum creating a  pollybeak deformity. You should let  one year pass before you can  judge the result.  Speak to your surgeon  and consider getting  a second opinion before proceeding with revision surgery.

Michael M. Kim, MD · Answer

By four months, the was majority of your swelling should have come down and therefore steroids are unlikely to have a great effect. I agree with one of the previous physicians in that you likely had under-resection of your nose. While not a classic pollybeak deformity, it is a problem that all rhinoplasty surgeons have faced. It's very common to focus on the highest part of the hump and undertreat the middle third of the nose.

	I can't specifically speak for your physician, but the fact that he is suggesting more surgery sounds like he feels the same way. From the rest of your photos it appears that the rest of the nose looks fine.

	I hope that helps and good luck.

	Michael Kim, MD

Michel Siegel, MD · Answer

It appears from you r photos that your surgeon did a great job, and that you do have a bit of swelling in the supra tip. I agree with his course of treatment, I am also not a fan of steroid injections, as they may cause problems. I reserve them for very specific cases, and yours, in my opinion is not one of them. Be patient and you will be happy in the long run, rather than risking creating a problem.

Amorphous Nose at 4 Months Post-op, Dr Doesn't Believe is Using Steroid Injections, Other Options for Swelling? (photo)

Answers (8)

Answer: Amorphous nose at 4 months postop; to inject or not to inject with steroids

Answer: Amorphous nose at 4 months postop; to inject or not to inject with steroids

Answer: Steroid injections after rhinoplasty

Answer: Steroid injections after rhinoplasty

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Amorphous Nose at 4 Months Post-op, Dr Doesn't Believe is Using Steroid Injections, Other Options for Swelling? (photo)

Answers (8)

Answer: Amorphous nose at 4 months postop; to inject or not to inject with steroids

Answer: Amorphous nose at 4 months postop; to inject or not to inject with steroids

Answer: Steroid injections after rhinoplasty

Answer: Steroid injections after rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.