Hardness of tip - will I need a revision to fix this?

Question

4 months post-op. Thick skin and middle eastern. My tip is hard as a rock, but I can slightly move my tip down and side to side, and sometimes throughout the day it feels softer but it is overall hard. when does the tip feel more softer and flexible. Surgeon used double floating medial crural strut as tip support. And no rib/ear graft. Will my tip ever feel like before surgery or will I have to have revision to remove the tip support? Can the tip ever be the same as pre-op even with revision?

James Shire, MD · Answer

At 4 months this is normal. The firmest is part of the healing process that will take between 12-15 month. No a revision rhinoplasty will not fix this and shouldn't be do perform until the healing has occurred. These are questions that you should discuss with your surgeon.

Philip S. Schoenfeld, MD, FACS · Answer

Four months is a relatively short time to evaluate the status of your nose following rhinoplasty.  In my preoperative counseling sessions prior to rhinoplasty, especially in rhinoplasty with thick skin, I tell my patients to expect injections of steroids following their surgery as a means to prevent post operative scarring and thickening of the tip and lower dorsal skin.  Ask your surgeon for a steroid injection as your nose does feel softer at times and this may be a matter of time and steroid combination.

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