hello, i had revision rhinoplasty a month ago for septal reconstruction and correcting alar retraction from prior surgery. I had an open procedure this time. The doctor placed a columellar strut to maintain tip projection not so much to elevate it because i had had lost some projection in my previous surgery and ended up with a columellar show. but i was happy with it more than i am now with the current tip as i now have a very upturned tip. I find the tip feels too upturned now than before specially when I smile, it pushes more skin upward making me look weird with a short stub nose. Please tell me how many millimeters of tip drop i can expect in the upcoming months. From post op day 7 when the cast came off, the tip dropped probably 1-2mm. I will be happy if my tip drops 2-3mm more in the up-coming months. is this feasible and a realistic expectation? More than whether the nose looks aesthetically proportionate, I am worried about retaining my family facial feature traits and don't want to look alien coz of my surgery. It would be good if my tip drops as stated above. Pls throw some light on this so i can wait in peace.
Answers (5)
From board-certified doctors and trusted medical professionals
VOTED MOST HELPFUL
January 31, 2015
Answer: Tip rotation and swelling after rhinoplasty
It is hard to say without an exam, but if the point on the tip cartilage can be easily exposed with a closed technique, it just might be possible to smooth it over and remove the point and white dot when you smile without too much fuss.
I have performed Rhinoplasty for 25 years and IMHO, this is ill-advised. While IV sedation appears desirable, on the surface, the reality is that it is not as safe as a general anesthesia because the airway is not protected. In the event of bleeding, which Rhinoplasty can do at...
You have very nice facial features, and your nose is nowhere close to Steve Carell's. It does not look masculine to me. The most i might consider is narrowing the tip slightly, but I am not sure I would even touch it. From what I see, it looks pretty good.