Uneven tip cartilage and skin blanches

Question

The right halve of my tip cartilage is so much longer than the left. I feel so obvious the split between both halves and then right side that is sticking out and is a bit pointy. Where the pointy cartilage is my skin blanches, especially when I smile the white spot becomes really obvious. Will this even out? Most of my tip swelling is gone, only the lowesg part is stil swollen, my columella and the underneat of my tip. Any chance the right halve will shrink once all the swelling is gone?

Alan Gonzalez, MD, FACS · Answer

Hello @Cheerful748751, thank you for your question. To make an informed recommendation, we need more information. A consultation is vital to establishing a surgical or non-surgical protocol plan that meets your needs, meets your expectations, and takes into account what is realistically possible. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Jonathan Kulbersh, MD · Answer

Thank you for your question. When recovering from a rhinoplasty procedure, it's important to remember that the nose can continue to change throughout the following year. While it’s unclear from your post how long ago your initial surgery was, you’re likely still experiencing some swelling that will significantly impact your ability to see your final result. In the meantime, it’s possible that steroid injections can be administered to reduce some of the residual swelling you’re referring to.

If you consider a revision after your full recovery period, please note that each subsequent nose surgery becomes more complex due to loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, oversee your recovery process, and answer any questions you may have.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Thanks for the questions. It depends on how long it's been since your surgery. Swelling can take over 12 months to finalize. In the meantime, I have patients tape and perform compressions. Sometimes, selective steroid injections can be useful. So, it is possible that you may see improvement over time. If not, a revision procedure may be needed to address the tip asymmetry and improve the contours. Hope this helps!

Uneven tip cartilage and skin blanches

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