2 weeks after my rhino, will tip lift? Is my columella retracted? (photo)

Question

i was clear about wanting a slope and unturned nose it now appears flat in front and straight from side not enough swoop. like pic provided. also the retracted columella appearance and lack of tip defeniton is worrying me. I'm 2 weeks after surgery and get that the swelling is a factor but i don't see how the columella is going top change or the side profile bridge significantly. does this look like i need revision. if so do i need to start over or is there a way to lift tip like pics attached

John Bitner, MD · Answer

I agree with many of the other comments in that, yes, your nose is swollen and the changes that happen from the two week mark to the final result can be fairly significant.  I think that some aspects of the "swoop" may eventually develop in the bridge into what you were expecting as the swelling resolves.  However, I am skeptical that the columella will come down much at all.  Your surgeon should be able to add a small graft to the columella and that should bring it down nicely.  I would classify this as a "touch up" procedure and not a full revision.  I would recommend that you wait and whenever your surgeon feels it is appropriate from a healing perspective, you could have that done.  Patience is a very important trait to have (or learn) as you recover from all surgery, but rhinoplasty in particular.

Michael L. Schwartz, MD · Answer

Swelling after rhinoplasty is one of the normal features that is most distressing to patients. Although we talk about it it seems almost unimagineable to patients that there nose will change dramatically from what it looks like at two weeks. If your doctor is confident that the result in the operating room is what you were trying to achieve then you have to be patient and wait. It's hard and stressing  but even after performing over one thousand rhinoplasties I am still amazed at the changes that continue even up to a year or more.

Raghu Athre, MD · Answer

Your nose is undergoing a lot of changes.  STOP.  RELAX.  LET HEALING OCCUR.It is too early to think about revision, etc.  I would tell you to allow the healing process to occur, discuss your issues with your surgeon, f/u with your surgeon as scheduled, and do whatever his/her prescribed post-op course.

2 weeks after my rhino, will tip lift? Is my columella retracted? (photo)

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2 weeks after my rhino, will tip lift? Is my columella retracted? (photo)

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Everything you need to know about Rhinoplasty

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