Approx 3 months post op primary rhino. Overall big improvement and I am a reasonable patient that doesn't expect perfection. However, I am slightly concerned about the overall downward appearance of the nose and the nasolabial angle. I am aware that swelling can and does take a full year to resolve. Is it reasonable to assume that my tip is not going to rotate upwards as swelling subsides? Also, one side of nose is longer than the other.
Answer: Rhinoplasty results 3 months after surgery Sorry you are not completely satisfied with your rhinoplasty results. I think it is reasonable to assume that if you are not happy with your results at 3 months, they are unlikely to improve much at 6 months or 1 year. Based upon the photos provided, you do not really have a hanging columella. Your results are more consistent with a subtle pollybeak deformity. This is the appearance of a dorsal nasal convexity resembling a parrot's beak. It exists when a dorsal hump is located in the supratip region of the nose which then "pushes" the tip downward causing under-rotation. This is certainly not meant in any way to insult or criticize your results. Based upon the side view, it is certainly improved from the preoperative pictures. Rhinoplasty is a difficult procedure. I would advise maintaining your relationship and close follow up with your physician. If a revision becomes necessary, hopefully he or she will be committed to meeting your goals. Good luck!!
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Answer: Rhinoplasty results 3 months after surgery Sorry you are not completely satisfied with your rhinoplasty results. I think it is reasonable to assume that if you are not happy with your results at 3 months, they are unlikely to improve much at 6 months or 1 year. Based upon the photos provided, you do not really have a hanging columella. Your results are more consistent with a subtle pollybeak deformity. This is the appearance of a dorsal nasal convexity resembling a parrot's beak. It exists when a dorsal hump is located in the supratip region of the nose which then "pushes" the tip downward causing under-rotation. This is certainly not meant in any way to insult or criticize your results. Based upon the side view, it is certainly improved from the preoperative pictures. Rhinoplasty is a difficult procedure. I would advise maintaining your relationship and close follow up with your physician. If a revision becomes necessary, hopefully he or she will be committed to meeting your goals. Good luck!!
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Answer: Possible polly beak Thank you for your question!
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Answer: Possible polly beak Thank you for your question!
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June 3, 2014
Answer: Rhinoplasty 3 months post op with droopy tip and hanging columella. Rhinoplasty 3 months post op with droopy tip and hanging columella will not improve much and you are right in that it will not rotate up. See your surgeon or a revision rhinoplasty specialist.
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June 3, 2014
Answer: Rhinoplasty 3 months post op with droopy tip and hanging columella. Rhinoplasty 3 months post op with droopy tip and hanging columella will not improve much and you are right in that it will not rotate up. See your surgeon or a revision rhinoplasty specialist.
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July 30, 2014
Answer: 3 months post op of Rhinoplasty, do I have a hanging columella and overall drooping nose Best to obtain ONLY IN PERSON consults and bring your BEFORE photos to the consults.. Revision surgery after 1 year post op...
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July 30, 2014
Answer: 3 months post op of Rhinoplasty, do I have a hanging columella and overall drooping nose Best to obtain ONLY IN PERSON consults and bring your BEFORE photos to the consults.. Revision surgery after 1 year post op...
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June 4, 2014
Answer: Drooping of nasal tip post rhinoplasty I do not think that you will see any upward rotation of your nasal tip as the residual swellingsubsides. Although the tissues will soften after 3 months, the majority of edema has resolved. In reviewing your photos, it appears that the downward turn of the tip (so called 'polybeak deformity') is primarily due to under projection and under rotation of the cartilage in the tip combined with protrusion of the columella. It also appears that your nostril rim is somewhat retracted in the post operative photo which contributes to the appearance of the columella 'hanging' of being lower.Revisional rhinoplasty is more difficult than primary nasal surgery so I would suggest that you see a plastic surgeon that is experienced in this area. Secondary surgery can be quite successful however and if these issues are truly bothersome to you, I think it would be worthwhile to seek consultation with an appropriate specialist.
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June 4, 2014
Answer: Drooping of nasal tip post rhinoplasty I do not think that you will see any upward rotation of your nasal tip as the residual swellingsubsides. Although the tissues will soften after 3 months, the majority of edema has resolved. In reviewing your photos, it appears that the downward turn of the tip (so called 'polybeak deformity') is primarily due to under projection and under rotation of the cartilage in the tip combined with protrusion of the columella. It also appears that your nostril rim is somewhat retracted in the post operative photo which contributes to the appearance of the columella 'hanging' of being lower.Revisional rhinoplasty is more difficult than primary nasal surgery so I would suggest that you see a plastic surgeon that is experienced in this area. Secondary surgery can be quite successful however and if these issues are truly bothersome to you, I think it would be worthwhile to seek consultation with an appropriate specialist.
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