6 months post op, nose looks weird from certain angles. Can this be improved? (Photos)

Question

Hello, I had a rhinoplasty done about 6 months ago, and one side of my nose looks completely different than the other side. I don’t even know how to describe it without pictures, front view on my nose my nasal bone sticks out more than the other side along with my nostrils on one side. I dont even know what to do, or if nasal rasping will help this weird asymmetry thats happening. My side profile looks different on both sides. Please let me know what is going on here so I can get some clarity.

Ronald J. Edelson, MD · Answer

The main thing I see is the tip is swollen. It could be improved with steroid injections. I think it may need to be shaved down a little to give you a better profile

Donald Groves, MD · Answer

Hello and thank you for your question and pictures. I can see what you're talking about but it's hard to fully tell based on these pictures and the swelling. Typically it takes up to 1-2 years for all the swelling to fully resolve, but if you are unhappy with the appearance of your nose, you would need a revision rhinoplasty to properly correct your issue and to solidly reinforce the entire underlying framework to assure you get the BEST long term results (to prevent distortion and retraction from scarring forces over time). Anyone who tells you otherwise is doing you a HUGE disservice!

Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually).

If you are unhappy with the appearance of your nose, I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Selcuk Inanli, MD · Answer

Hello!Thank you for your question.
As far as I can see from your photos This image after rhinoplasty is definitely not normal, I recommend that you contact your surgeon and discuss the process for revision.
Best Regards!

Gianfranco Frojo, MD · Answer

This appears to be a pollybeak deformity. I would return to your original surgeon to discuss your concerns and/or voice any questions.

Steven M. Denenberg, MD · Answer

At least from these photos, the asymmetry is pretty small, and who knows what will happen to it as the swelling continues to subside. I'm more concerned about the definition of the tip -- the way the bridge is high on the profile view just above the tip, and the width of the tip, and the length of the nose on the 3/4 views. At 6 months, you still have some swelling to resolve, but usually not a huge amount of swelling. Do you notice any of those issues, too, or is it really just the asymmetry?

Eric M. Joseph, MD · Answer

Based on what I see, you appear to have swelling in the area just above your tip, and this puffiness is best seen on your profile view. If this area is soft to the touch, you from a steroid injection to the supratip area. It would be best to discuss your concerns with your surgeon, and to look at your before and after photos with him as well. If you have any major concerns, sometimes getting a second opinion from another reputable Rhinoplasty specialist may be helpful. Thank you for this question! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, it is very normal to be swollen at six months. If you ultimately do end up getting revision, here are some maneuvers that could be performed. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Darryl J. Blinski, MD · Answer

Based on the series of post photos, it appears you have a super tip deformity and a continued boxy tip issue. Only option is revision. Expect fees to arrange from $8000-$12,000. Again, best of virtual consult with.

6 months post op, nose looks weird from certain angles. Can this be improved? (Photos)

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