Question Regarding Septal Surgery Outcome and Non-Surgical Options - would a steroid injection help? (Photo)

I can see in your photographs that your nasal tip appearance is a bit wider after your third septal perforation repair. Based on the photographs, I would advise against further nasal surgery, since it might not give you exactly what you want, and it could cause another perforation. Wishing you well moving forward. Sincerely, Dr Joseph

Many thanks for your question. On the right photo, your nasal tip does seem more full. Septal perforations sometimes require an open approach wherein a cut is made under the tip of the nose. If this was undertaken in your case, then nasal swelling at the tip is not unusual. Often this does simply settle with time but as you have mentioned, steroid injections can be considered and can be quite effective but I would usually wait at least a couple of months before considering this latter option.
Best Wishes

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. 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