Considerations on a Revision Rhinoplasty?

I am 8 months post-op. I initially had a bulbous nose, as well as a hump. My cosmetic surgeon gave me a round tip and apparently removed a lot of cartilage, though I'm slightly unhappy that it appears wide from the font whenever I smile. I hope that with a revision, I can achieve a slimmer, sharp-angled tip. My question: Is it reasonable to aim for that kind of result (if so, do I find a different surgeon?), or should I just accept my nose the way it is now and avoid disappointment?

Doctor Answers 8

Revision rhinoplasty for defined tip

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It is simply to soon to determine the results of your tip refinement at this stage of the post operative phase. I would suggest waiting at least a year or more and keep in mind "goods greatest enemy is better".

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

Round tip after rhinoplasty surgery

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Dear LeylaB:  Having looked at you pics..I would give it more time for the nose to settle more.  In some cases with thicker skin and broad noses (like yours), the skin can take 2+ years to contract and adapt to the underlying cartilages.  Your nose to me still looks "swolllen" at the tip and not quite settled into place.  At the minimum, I would wait another 6-months.  Too much surgery, too early after rhinoplasty can also create other problems that we want to avoid.  If you are still unhappy with your nose, then there are several things that I can recommend to further refine your nose.   In summary, wait another 6+ months before judging your nose.  All the best, Dr. Vartanian.

A. John Vartanian, MD
Glendale Facial Plastic Surgeon

Round tip after rhinoplasty

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As others have stated time is your friend and may improve the fuller appearance of your tip.  Also there is possibly some improvement to be gained from a few steroid injections

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Attaining a sharper, more refined nose

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Being 8 months postop you still have quite a bit of tissue swelling to resolve yet. As this occurs (over 2-3 years) you may find the definition you're looking for.

I would give it time to see how things evolve. You would hate to have revision surgery too soon.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Revision of Nasal Tip

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You should wait a little longer before considering a revision - your tip may improve with your "thicker" skin. It is always best to avoid judging your tip when you're smiling.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Revision Rhinoplasty

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Hi Leyla, I do a lot of work on patients with bulbous tips. The majority of these patients have fatty tissue in their tip and need cartilage grafting. As well, a small implant raises the bridge to give the appearance of a more aquiline refined nose. My website below shows many examples of patients with bulbous tips. Best, Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews


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It is very difficult to achieve what you want. You have very thick skin on the tip of the nose and the skin of the ala.

Samir Shureih, MD
Baltimore Plastic Surgeon

Revision tip sculpting

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     Although you may have some residual swelling left over in the tip, 95 % of tip edema should have subsided by this time if surgery was properly performed.  If you have thicker skin and you get reduction rhinoplasty, then you may end up with a rounder and more amorphous looking tip. I also see that you may have some alar and upper lateral cartilage collapse,- a  sign of reduction rhinoplasty. It's good that you are starting to think about revision options at this time. I would wait until 12 months before seeking consultation. The key to achieving the results that you want is to perform structural grafting and actually add cartilage. This sounds counter-intuitive, but if placed in correct areas, your tip could look more angled and sculpted. You may need to have ear or rib cartilage grafting though. Good luck! 

Joseph Shvidler, MD
Tacoma Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.