Crooked uneven tip four weeks after rhinoplasty. I guess my question is should I consider revision surgery?

Question

It's been a month since my rhinoplasty, immediately after my cast was removed I noticed the tip of my nose to be crooked. I tried not to stress because I know it takes time to heal but it's been four weeks and I have noticed any progress. I thought it might be uneven swelling but it's remained the same throughout the weeks. I doubt it will drastically change within the next few months.

Jag Chana, MD, FRCS(Plast) · Answer

It is too early at 4 weeks to assess the results of the rhinoplasty. One occasionally  sees asymmetric swelling after rhinoplasty and this may improve over the next 6 months. My advice would be to stay in touch with your surgeon. If an adjustment is required this is best performed between 6 months and one year. If the asymmetry persists it can be due to a septal deviation or an asymmetric configuration of the nasal tip cartilages. This would be correctable and an open approach would be appropriate. At the moment however, it is best to be patient and wait for full healing and the tissues to settle.All the best.

Philip Solomon, MD, FRCS · Answer

It's not entirely unusual to see swelling that causes the tip to be crooked at this point in time, as you are still very early on in the healing process.  It takes a full year for all the swelling to resolve.  I would recommend that you see your surgeon for follow up appointments over the next few months so that they can follow and document your progress. If at one year, you are still unhappy, a revision surgery could be considered if your surgeon feels that you're a candidate.  You can also consider getting a second opinion from another surgeon who specializes in rhinoplasty.Best of luck,Dr. Philip Solomon, Solomon Facial Plastic, Toronto, Canada

Tanveer Janjua, MD · Answer

It seems unlikely the deviation was completely resolve.  However it is too early to intervene in any form.  The deviation will continue to change and might even get a little better over time as the swelling subsides.  There is no reason to stress and do an early revision or intervention.  Wait for at least 3 months before making a decision on performing some kind of intervention.RegardsDr. J

J. Phillip Garcia, MD, FACS · Answer

Hello,
Four weeks after rhinoplasty is too early to make any sort of judgement on results.  Overall, I advise my patients that swelling can be present for up to one year.  Allow your surgeon to reassure you regarding your recovery .
Regards,

Gaby D. Doumit, MD · Answer

Thank you for sharing your concerns
It is too early to judge the final result. I recommend that you wait before proceeding with a revision
Sincerely
GD

Jan Zemplenyi, MD · Answer

Thank you for your question. Four weeks post op is too early to know the final results of your rhinoplasty. Typically, the initial swelling after nose surgery subsides within two to three weeks.  However, residual swelling, especially in the tip of the nose, can take about a year to resolve as the contour refines. Swelling can also vary through the day, being more prominent in the morning. Try and be patient while you're healing as your nose will probably continue to change over the next several months. If you are still unhappy with the results I would recommend following up with your surgeon.

H. George Brennan, MD, FACS - Account Suspended · Answer

Thank you for your question.  Although you are concerned, four weeks after a rhinoplasty is very early to tell the outcome.  Uneven swelling can make it appear that your nose tip is crooked.  When all the swelling subsides ( it may take up to a year or more) your nose will most likely even out.  I would stay in close contact with your surgeon and most of all, stay patient.  Best of luck  to you

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  I am sorry to hear that you are concerned about the result of your rhinoplasty.  The first 2 views actually look quite good.  The third few from above shows a deviation of the tip to the left.  This is most likely cause either by a crooked septum underneath or a depression of the bones on the left side.You are currently in recovery and I would see her plastic surgeon and ask if massage of the nasal bones on the right side might help improve this result.  Also determine if the nasal septum is crooked.  Your result will continue to improve over the next 6-8 months but I would consider steps above if your surgeon agrees.

Robert E. Zaworski, MD (retired) · Answer

Four weeks after surgery is too soon to judge the final result and to consider revision.  It can take months to a year to see the final result.  Stay in close contact with your surgeon so he can monitor your progress.

Crooked uneven tip four weeks after rhinoplasty. I guess my question is should I consider revision surgery?

Answers (9)

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