6 weeks post-op: my nose looks upturned and short. Is there hope it will lengthen? Will the tip go down (a lot)? (Photos)

It's still too soon to tell what your final results will be. You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and look beautiful in the end. If, one year from now, you are unhappy with your nose, then that is the time to think about a revision procedure. Right now, concentrate on other things you like to do and let your nose and under eyes take the time to heal. I hope this helps.

You are still very early in the healing process so you likely still have significant swelling, making it difficult to evaluate your final results at this  time.  This swelling can take 6-12 months to resolve so try to be patient as your body heals.  

I appreciate your concern following surgery ,I do not feel your nose will get longer or go down with time . It often takes a while to get used to a new look but my patients usually can tell if “it’s right “ , even with a cast in place .. I would allow a minimum of 6 months for this to heal and if you’re not happy consider a revision 

You have to give yourself some more healing time.  Your nose and surrounding areas are going to be swollen for a while and you should be consulting the surgeon that performed the procedure but give yourself some time before going back in so some of it can subside. It can take up to a year for final results.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

Thank you for your pictures! You are very early in the healing process, so it is still too early to tell you what the end result will be.  What is constant is that rotation tends to drop, and lengthen the nose with time. Again this also depends on what maneuvers your surgeon performed during your surgery.  Give things time, and let it settle.  Rhinoplasty healing can often be a little bit of a rollercoaster, so hang in there! You are doing great.  Make sure you mention your concerns to your doc and theyll be more than happy to go over everything with you and what you can expect.  I hope some of this helps. 

At this point your best option is to wait.  You have significant tip swelling still present.  Over the next few months you should see some significant improvement.  The tip can de-rotate downward as well with time.  

You are very early in the post op period.  Almost all noses take up to a year to see final results.  By viewing your photos, it appears your nose will be improved from your pre-op state.  Good luck!

Hello and thank you for the question. Rhinoplasty results evolve over time. It can take up to 12-15 months for the final results to show. It's not easy to predict the extent and direction of this postoperative changes. Having said that, it's not typical for an over-rotated or under-projected tip to go down or lengthen as the healing continues. I would discuss your concerns with your surgeon. Best,Pejman Aflaki, M.D.Johns Hopkins-trained plastic surgeon

6 weeks post op is very early on in the healing process. It is a very vulnerable time and hard not to get anxious about your final result. You will see that over the next year of your healing process things are going to change. I would re evaluate how you feel about your results when you are closer to 6-12 months post op and discuss with your surgeon.

I will echo what others have said which is that you are early on in the healing process and thus there is still a good deal of change that will occur.  Hopefully time alone will help resolve your concerns. You are correct in that you certainly had a very nice nose to begin with so hopefully nothing too aggressive was performed during surgery. I would only add that you should probably try to get your "operative report" from you surgeon now so that if you have questions about what exactly was done then you ask him/her while the surgery is still fresh in their mind. This may be useful in the future if you ever do end up needing a revision.