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Posted underRevision Rhinoplasty q&a

Radix looking lumpy and I have a dent after DCF rhinoplasty (almost 14 months post op) - Do I need a revision? (Photos)

spark1888Dec 30, 2025
I’m ~14 months post-op from a primary rhinoplasty. Overall healing has been stable, but I’m still bothered by the radix area. It looks high and doesn’t blend smoothly into my glabella, especially in certain lighting. I’ve already tried Kenalog injections with minimal change. I’m trying to understand whether this looks like residual fibrosis/scar tissue, muscle tension (procerus), or possible excess graft? I had a diced cartilage with fascia rhinoplasty. This is my primary rhinoplasty. Do I need a revision? I am reposting this question so that I can add more side profile photos. here's my original post: https://www.realself.com/question/pomona-california-post-rhinoplasty-radix-prominent-blending-13-months-post-op

Answers (1)

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1736 Reviews
Answered on Jan 1, 2026
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical technique, you could have an outstanding result....

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include straightening the dorsal aesthetic lines, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. With good surgical...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. There are several options that could make your nose appear less pinched, which could be performed during a revision. Additional pictures and evaluation would be helpful. With good surgical technique, you could have an outstanding result. I recommend that...

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Mark K. Markarian, MD, MSPH, FACS

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone I agree that you can benefit from a revision to your dorsum, in addition to tip refinement. The question is how to do address the dorsum and your implant -- my experience in Gore-Tex (or...

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Mark K. Markarian, MD, MSPH, FACS

Short answer -- Yes. Long answer... There are grafts that move the nose closer to the lip (aka "de-rotating" the tip). I typically perform this by creating extended spreader grafts, locked into a columellar strut to maintain the tip at tension, and thus at the appropriate length. This...

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