Crooked Columella and Tip Revision Less Than 4 Weeks After Rhinoplasty - is It Possible? (photo)

The longer you can wait for the revision the better off you will be, the easier the surgery will be and the lower the risk of complication will be. When I was a resident I reoperated on a rhinoplasty patient early to add something to the first operation rather than to correct something. The amount of swelling/edema was so great once I was inside doing surgery that I still remember it decades later but from the outside you could not appreciate it. The best thing you could do now is get complete copies of your operative reports so future surgeons will a frame of reference to work from. Your before surgery photos show valve collapse so graft removal may not be a good option.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Hi there

Your question is interesting. In general it's better to wait a year before a revision, as others have said.  However, I wonder if your nasal bones are displaced along the bridge.  At 25 days, there might be enough mobility in them to reposition them as we would do in a closed nasal fracture reduction.  If there's any movement in them, it will be much easier to do this now than later when they're solid. It's hard from your picture to see if this is truly a problem, as your photo is not taken absolutely straight, but it looks to be a possibility.

I would recommend you ask your surgeon to have a close look at your bridge and nasal bone position, and if it is not symmetric then have it straightened up now.  The tip, as others have said, might be better to wait on until it's settled.

Good luck.

From your photos it appears a revision may be necessary.  At this point there is too much post-operative inflammation and swelling to safely and accurately perform revision surgery. I recommend waiting 6 to 12 months.