Retracted columella - will it get better?

Thank you very much for enquire.It's too early to make value judgments with only 3 weeks after a rhinoplasty.Swelling after a rhinoplasty depends of the surgery complexity.In this regard, the nasal swelling Post-op It can last from two weeks to two months.To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.Kind regards, Dr. Emmanuel Mallol Cotes.-

Generally it should look better with time as the ala are likely to retract and give you more collumelar show. If it does not, there are simple way to revise that and increase your collumelar show. Be patient .

Early in the process of healing, the nose will go through many changes due to swelling. As the swelling goes away, the results become more apparent; however, swelling does not go away in a predictable way. It may resolve on one side before the other. That's why we tell patients to wait a full year before we evaluate the result. The columella is related to the position of the ala (nostrils). If the nostrils are hanging low, the columella may look retracted. Scars will often pull up on the ala as the nose heals. Please be patient as your nose needs to heal before making any decisions. 

I can not really say without seeing photos at the minimum. I will say that swelling might mask some of the results. 

Dear jnicholas,You sound like you sure know your stuff and understood the goals of your revision. Because you also had work on your tip the swelling here may be covering the columella a bit on your profile. It sounds as though you communicate well with your surgeon and bringing up your concerns now is certainly reasonable, with the understanding or disclaimer that you know things are very early and will change. I might ask something like "If this doesn't get better after things are fully healed, do you have any tricks up your sleeve to make it a little better?". Their answer should put you at ease, and the way you phrase it will help keep your surgeon from feeling defensive.Best of luck,