22 days post-op: the tip of my nose is too high. My surgeon said they over-exaggerated as it will drop, is this true? (Photos)

Thank you for the question. Based on the provided photos, I cannot make any determination about the nasal tip position. However, in general, the tip does drop after rhinoplasty. I would talk to your surgeon to ask what you can do to help with that process. You may be able to massage it to make it go down faster.

Please listen to the doctors who have responded and realize that:1) You are not crazy and your tip is swollen  2) you will drive yourself crazy if you keep focusing on your tip size and your anxiety about it will not make your nose get smaller. 3) Not a single one of us surgeons wants to be judged by our rhinoplasty tips at 22 days because the tip always holds onto swelling longer than the rest of the nose and especially after open rhinoplasty. 4) The tip will no doubt be much less swollen by the time most of us take pictures which h is 8-12 weeks .5). Try to de-focus your angst for the next 5-6 months because it is wasted energy and not healthy stress and it would make matters worse to force a revision surgery before that time...and by 6 months you may well like your result. 6)  Now, having said those things, I would discuss with your surgeon strategic taping which I do and teach my patients to do at home which can compress the tip and supra-tip and often forces edema out of these areas and I have had patients do this sometimes for months. 7) There is a very narrow indication for Kenalog injection into the supra-tip but I even hesitate to mention it because it can lead to over thinning of the tissues especially if not done with a low dose and no more frequent than once a month for only up to three doses.8)  I will share with you that on rare occasion when we had to speed up the resolution of swelling for a particular and important reason, I have placed a patient on a one time Medrol [steroid] dose pack. These are perhaps not comfortable options in your surgeons arsenal and you should respect their post-op regimen; and by far the safest plan is to and wait it out 9) apply "Tincture of Time" and wait it out!

Thank you for your question. It is much too soon to determine really anything about your result. Rhinoplasties take at least six months to settle into place. There is often significant swelling that may be associated with a larger or more bulbous appearance (consistent with your concerns). Reach out to your surgeon and discuss ways to speed up the healing. Some surgeons recommend regular taping to get it to improve.