Does an asymmetrical tip cartilage ever correct itself? (Photos)

Question

I had closed rhino 4 months ago, and though I am generally happy with results, I now I have an uneven tip (from what seems like uneven cartilage trimming). I can feel that one side of the tip is longer than the other and it is visible as a bump on one side of the tip. I am sure my surgeon will fix it closer to the one year mark, but is this something that would ever correct itself with time? My surgeon said the longer side may dissolve with time, but not sure what that means.

Jonathan Kulbersh, MD · Answer

The nose will continue to heal for 1 year after surgery.  I would be patient and let your nose heal.  The tip may become more symmetric over that period.  If there remains significant asymmetry you could consider a revision surgery at that time.  The goal of a rhinoplasty is not perfection, but to create a nose that fits your face.  I hope this helps.

David Bray, Jr, MD · Answer

At 4 months the nasal tip is still healing. Changes may occur in the nasal tip for many years. However if the nasal tip cartilages are asymmetric after one year then it is unlikely that the cartilages will change position and improve symmetry.

Sean Freeman, MD · Answer

userabc123, facial asymmetry is much more common that facial symmetry. You can see your L nostril is lower than your R so your L face is the bigger side, this would also explain the tip serving a bit to the weak side. Usually this can be improved during a rhinoplasty though perfection should not be expected. Stick with your surgeon for a year and at that point if you want a second opinion see a plastic surgeon that specializes in "only faces" and has decades of experience. Good luck!

Fred J. Bressler, MD, FACS · Answer

You appear to be developing a tip cartilage bossa of the right side, though it is possible that the cartilages are simply uneven or sutured together at different levels. Other possible causes to consider would be a suture granuloma or displaced cartilage graft. Fortunately, these concerns are correctable but would require another surgery. Glad that you appear to trust and respect your surgeon. I am confident that your surgeon will recommend the best course of action for you. Sometimes minor revisions can be performed sooner than one year, but after 6 months. Wishing you all the best.

Does an asymmetrical tip cartilage ever correct itself? (Photos)

Answers (4)

Answer: Uneven Nasal Tip after Rhinoplasty

Answer: Uneven Nasal Tip after Rhinoplasty

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Does an asymmetrical tip cartilage ever correct itself? (Photos)

Answers (4)

Answer: Uneven Nasal Tip after Rhinoplasty

Answer: Uneven Nasal Tip after Rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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