Bad Nose Job All Around, Can This Be Fixed? (photo)

I think I made the biggest mistake in having rhinoplasty. I had a nice nose before but wanted some refinement. So far after 3 weeks and 2 days (I know its early) but everything I think is going for the worse. Beside the huge pain I have and the stuffiness, I think my nose looks crooked now, the nostrils are completely different, shape and size. And the columella showing from the right nostrils is coming out and looks gross.I hope all of this, pain and esthetic, can be fix with a revision. Thank U

Doctor Answers 13

Concerns after rhinoplasty

Hi there,


At 3 weeks post op it is simply way too early to see the final shape of your nose.  It will take months to appreciate the change if it is a nuance rhinoplasty.

Having said that, it would be wise to discuss with your surgeon, especially in light of the asymmetry you see.

As others have said, preop pix would be very helpful. 

3 weeks post-op

It is extremely common for the nose tip to appear up-turned in the first few weeks after rhinoplasty due to stiffness and swelling of the tip and columella

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

Unhappy 3 weeks after rhinoplasty

Hard to judge results without pre-op pictures....


In any case it is too early to assess final outcome.  Wait 6 months and see what happens.  

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 46 reviews


I am sorry that your experience has been difficult.  However, 3 weeks after a Rhinoplasty and lip lift is very early in the healing process.  Swelling, subtle abnormalities, nasal stuffiness, are all completely normal at this point. Most Surgeons will encourage patients and allow for 6-12 months before considering revision surgery

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 95 reviews

Bad Nose Job All Around, Can This Be Fixed?

Yes you have a deviated septum/columella in this early healing phase. BUT you did not post before photos so we could compare. Best to allow 6 months healing before revision surgery. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

You need to wait several months before deciding that you need revision

Not knowing where you started makes it difficult to tell what has been done. But your nose does not look as bad as you think. Relax and give it some time. Discuss with your doctor, as there may be some thing that can be done now to modify slightly, such as taping etc. After several months reasses with your surgeon, and hopefully you will be happy with the result. If not your surgeon should be able to offer the best deal financially for revision, but if you need to, find an experienced Plastic Surgeon for a second opinion.

Rodney A. Green, MD
Cleveland Plastic Surgeon
4.8 out of 5 stars 24 reviews

Unhappy with rhinoplasty

I think that you are jumping the gun too fast. Many of the things you are describing will get better as the swelling goes away. From what I can see I do not think that you will be able to really assess the results till 3 months after surgery. That's when the majority, but not all, of the swelling will have gone away. Be patient and continue to discuss your concerns with your surgeon. Good luck.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 78 reviews

Post Rhinoplasty Concerns


Thank you for your recent post operative photographs however preoperative photographs would be necessary to help determine what was done during your procedure. I would discuss all of your concerns with your surgeon as most of these are clearly visible in your photographs. During almost all rhinoplasty procedures that I perform I address the functional aspects of the nose as well as the aesthetics. You may want to discuss what was done in this regard as well due to your breathing difficulties. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

Rhinoplasty and swelling

It is always nice to see preop photos to see where you started.  Right now there is swelling, and you will have to wait for that to come down.

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

Unhappy with rhinoplasty results.

You are still in the healing process.  You should express your concerns with your surgeon and see if there is an explanation such as uneven swelling.  He/she will be able to advise you knowing the history of your case.  A revision may be helpful once you are fully healed and if you are still not happy.  

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 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.