13 weeks post op Rhinoplasty and Septoplasty. Will the tip drop any more at this point?

Question

I realize the tip will still refine over time, but I am wondering if it will drop or lower after 13 weeks? It’s currently still too high and up turned. I did not want the tip of my nose changed in elevation. Only refined.

Kevin Brenner, MD, FACS · Answer

You should continue to have some changes to your tip complex over the course of the first year after rhinoplasty.  In general, the tip complex has usually "settled" by three months. However, further change can occur and will depend on whether or not a cartilage strut was placed, and if so...what the size and shape of it was.

Paul S. Howard, MD · Answer

As a general rule, after tip surgery there's an almost obligatory appearance of elevation. It could be a slight change in the columella-tip angle giving the illusion of elevation or it could actually be slightly up do to healing and the initial dressing. Regardless, the tip always settles down over three months or so but it can take a year or more for the new contour to show depending on skin thickness. Patience is a necessity in all rhinoplasty surgery, cosmetic or not.

Sheikh Saadat Ullah Waleem, MD · Answer

Hi
After about 3 months the tip is unlikely to drop any further. The healing has already mostly taken place and there is one change likely to happen from here, which is gradual reduction in swelling.
If you are unhappy about the position of yr tip you should probably talk to your surgeon about it.
Thank U fo yr query.

Michael Elam, MD (retired) · Answer

Dear no277, I would suggest that you speak with your surgeon as he/she knows best where you are in the recovery phase and what your proposed results were. Generally speaking after three you may see some small changes in the tip which are typically related to swelling more then position. See an example below of a patient after splint removal and then at one year follow up to help give you an idea. Best regards, Michael V. Elam, M.D.

13 weeks post op Rhinoplasty and Septoplasty. Will the tip drop any more at this point?

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