Will the shape of my nose change anymore? Can my nose tip be improved by a revision? (Photo)

Question

I absolutely hate the way i turned out and I’m only 1 month post op and I think its WAY too small especially compared to my previous nose. With it only being one month i dont want anymore swelling to go down i already think it’s too small. Would the only way to improve my tip be by a revision?

Man Koon Suh, MD · Answer

Thank you for your question. The tip-alar lobule is indeed too small and the harmonious volume of the area from tip to ala seems to be gone. The good news is that a satisfactory result is possible through an alar rim graft or other cartilage graft, but this might be decided after further examination.

Eric M. Joseph, MD · Answer

The lower third of your nose appears swollen, and your nose will look better when your swelling is resolved. If you want to "add more" volume to your nose when your swelling resolves, microdroplet Silikon-1000 injections may be considered, depending on your examination. Hope this helps! Dr Joseph

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question.  If you already feel your nose is too small at 1 month, then a revision rhinoplasty would be required to augment your nose.  At this time frame, I would expect that about 80% of the swelling is gone, and so you have another 20% to go... All swelling comes down at about 12-18 months.  I would not recommend pursuing any further surgery prior to that time.  Augmentation or your nose can be performed at that point with MTF (cadaver) grafting (as your septal cartilage was likely harvested during your original rhinoplasty) and also soft tissue grafting (likely mastoid fascia).  The modification of your nasal cartilage can be done with trimming, stitching or grafting.

The next step for you is to find the right aesthetic plastic surgeon.  In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Sorry that you're experiencing trouble with your nose after rhinoplasty. At 1 month, there's still time for changes to occur aside from swelling reduction. After at least 6-8 months, a revision can be considered. This would involve deconstructing the tip to make it more natural in appearance. Some may advocate for filler as a "quicker" option, but I would not suggest it. Hope this helps!

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