7 months post-op rhinoplasty- the front view is extremely asymmetrical. What has happened? Is a revision needed? (Photos)

Question

Hi. I had a rhinoplasty 7 months ago, and I’m really struggling with the results. The side view looks hardly any different (that was my main concern) and the front view is extremely asymmetrical. It looks like I have a beak/hook and when I smile, it droops into a big V. Essentially all the problems and insecurities I had with my nose still exist. I’m being told since day 1 it’s swelling but after 7 months I’m struggling to believe any significant changes will happen. I’m depressed.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. While a proper evaluation is necessary to assess your nose, it is still premature to assume you’ve already achieved your full rhinoplasty results. It isn't until a full year after the procedure that results are truly definitive. Therefore, your nose will still have persistent swelling and may cause the asymmetry you are seeing. Patience is key for now. But if after a full year you are still unhappy with your results, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Your surgeon will evaluate your nose, determine your eligibility for revision rhinoplasty, recommend the best approach to address your concerns and goals, and help ensure the best possible outcome.

Daniel Barrett, MD · Answer

I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Cem Altindag, MD · Answer

Hi, thank you for your question. Some deformities seem on the images. You should be patient. Cartilage grafts would be used in your revision surgery. Tipplasty+ bridge refinement etc..(general anaesthesia). Few months later, a revision may planned if you wish. Best Cem Altindag Istanbul

Akshay Sanan, MD, FACS · Answer

Dear RealSelfMember00020,Thank you for submitting your photos and your questions. I am sorry to hear that you are struggling with your rhinoplasty healing and results. I know you are 7 months after surgery; however, I would wait a minimum of 12 months before deciding on undergoing a revision rhinoplasty. I would recommend you follow up with your surgeon and discuss candidly with them. Revision rhinoplasty is a challenging undertaking - both physically and emotionally. If you do proceed with a revision rhinoplasty, I highly recommend you seek multiple consultations with surgeons who specialize in revision rhinoplasty.I hope this answers your question.All the best,
Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CA

7 months post-op rhinoplasty- the front view is extremely asymmetrical. What has happened? Is a revision needed? (Photos)

Answers (4)

Answer: Rhinoplasty healing

Answer: Rhinoplasty healing

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Everything you need to know about Rhinoplasty

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7 months post-op rhinoplasty- the front view is extremely asymmetrical. What has happened? Is a revision needed? (Photos)

Answers (4)

Answer: Rhinoplasty healing

Answer: Rhinoplasty healing

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.