Crooked Nose or Swelling After Secondary Rhinoplasty? (2 Wks Post Op) (photo)

Hi, I know it's still too early to tell but I'm depressed by my outcome so far. I wanted to correct uneven nostrils and a hanging columella. My PS said he would reduce and refine as well. Now my nose looks crooked & as if its leaning to the left, & I feel like the org problems weren't corrected. I asked my PS he said it's "perfect" & not to drive him crazy! I travelled to have my surgery & I'm home now. I feel my nose is a disaster, will my nose look normal when the swelling resides? Pls help

Doctor Answers 7

Swelling post -op

It is far too early to consider this as a final result. It takes months for all swelling to go away. even if it is actually crooked and requires a revision it is importnt to wait 9-12 months. Reoperating too soon could lead to more problems.

Miami Plastic Surgeon
4.7 out of 5 stars 62 reviews

Crooked Nose or Swelling After Secondary Rhinoplasty?

If you underwent a simple rhinoplasty or correction of nasal tip operation it means that your cartilage or bone structures are not excised. Since the manipulation is minimal; the edema will be minimal also. Nasal buffers will not be applied after these operations but only strip bandages. These strip bandages will be removed after 5th postoperative day. You can continue to do your daily work just after the procedure but we do not advise you heavy lifting or excessive exercise.

If you underwent rhinoplasty operation in which the bone and cartilage structures are also involved like concha hypertrophy, septum deviation or secondary rhinoplasty; then intranasal buffers will be applied in order to reduce the edema. These intranasal buffers will be removed after 5th postoperative day. You can continue to do your daily work just after the procedure but we do not advise you heavy lifting or excessive exercise. The more you rest, the faster your recovery will be.

Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 90 reviews

Crooked Nose 2 weeks post-op

I would say that something went wrong and your nose will stay crooked unless you get a revision. It doesn't look like your deviation can be attributed to swelling. It's a shame especially since you traveled far to see your surgeon. See links below.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 273 reviews

Revision rhinoplasty

No matter how this is going to turn out, you still have to wait until the swelling has resolved which may take at least 9-12 months if not longer. Revisions are usually done after that period and even though it might be difficult for you but it is best to wait for healing process to complete.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon
4.6 out of 5 stars 12 reviews

Evaluating nose after 2 weeks

You can't evaluate your nose yet. I am a revision specialist and I see many concerned patients like yourself at this stage. Sometimes I see a nose that looks crooked and as an expert it goes thru my mind" I"m going to have to fix this one". Lo and behold at 4 months and after it is perfectly straight.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

It's too early to tell

At this point, the swelling is near its maximum, so it is hard to know the true structural form of the nose.  In a few months you will have a better idea of the true outcome.  Your surgeon will be the best person to guide you on this as he or she performed the procedure and will most intimately know your nose.  If things do not end up as you wished, you should first approach your surgeon about it.  Best of luck!

David W. Kim, MD
Bay Area Facial Plastic Surgeon
4.8 out of 5 stars 37 reviews

Nose appears crooked after revision rhinoplasty

Two weeks is very soon after your surgery, and you just recently reached the peak of your swelling.  Depending on the nature of your surgery, it can take up to one year to see the final result.  The amount of time it takes to see the final outcome is influenced by the following:

1) Whether or not tip work was performed during your surgery
2) The thickness of your skin 
3) Whether or not osteotomies (fracturing of the nasal bones) were performed.


Looking at your photos, I see the concern you have about your nose appearing crooked, but it is just too soon to tell if this is the end result.  I would see how your nose heals over time.  If the appearance of your nose is still an issue, then it would be best to contact your surgeon and express your concerns. Thank you and good luck with your recovery!

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

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.