Is my Nose Tip Too Round Following Rhinoplasty?

I had Rhinoplasty done four months ago, and I feel that the end or tip of my nose from profile view looks a little round. Also, there are two lines on each side of my nostrils that don't look too great. I'm more concerned about the rounded tip, though. I'm thinking about having another Rhinoplasty done, as I've heard most of the swelling has gone down by now and the final shape will be set. Could someone please give me some advice on how my nose looks and if I should go through another surgery?

Doctor Answers 42

Don't do it!

I must give a compliment to your surgeon. The nose looks great. Your tip is still actively healing. There is STILL considerable swelling present, and this will take up to 2 years to totally resolve.

So, my advice to you is not to have any more nose surgery until the swelling resolves. Most rhinoplasty surgeons won't revise a nose for at least a year.

Dallas Plastic Surgeon
4.8 out of 5 stars 106 reviews

What kind of rhinoplasty did you have

As a doctor who performs many revision rhinoplasties, I typically wait a minimum of one year for the most straightforward of corrections.

If you had an open tip rhinoplasty, tip delivery or tip defatting procedures, the time I will wait will be even longer, and will depend on the texture and softness of your nose. This time can be from 18 months, up to 3 years!

Most importantly, regardless of the type of procedure performed, 4 months is too short to decide if anything needs to be done.

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 33 reviews

Nasal tip swelling after rhinoplasty

Give it time!  You will do beautifully based on these early postoperative photos.  You have a nice straight dorsum, slight break (or upswing) in the supralar region (just above the tip) and you will notice continued and significant improvement throughout your recovery.  The text books don't lie.  12 months is absolutely necessary for complete healing and based on these views you should expect a very natural result in the long run that you are quite pleased and proud of.

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
4.6 out of 5 stars 23 reviews

Tip swelling takes a lot of time to resolve

After rhinoplasty, tip shape is typically the last thing to settle before seeing the final result. Depending on both the characteristics of your nose including thickness of the skin and what was technically performed during your surgery, this can take 12 months or longer. During this time you will notice that the size of your tip decreases as swelling resolves and subtle details and tip definition appear. Additionally, you may notice that your tip derotates and deprojects. Most patients should wait at lease 1 year following surgery prior to any revision rhinoplasty to allow all of these changes to settle and for adequate evaluation of the result of the first surgery. Additionally, scar tissue that was created during the first surgery needs time to mature and soften so that the nasal tissues are not tough and friable during the revision procedure.

Overall, your nose looks quite attractive from the lateral view and suspect that this will continue to improve as you continue to heal from surgery.

Jamil Ahmad, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 29 reviews

Swelling one year after rhinoplasty

Typically it takes a year for the majority of swelling to resolve. The tip is the LAST part of the nose to resolve swelling. In open approach revision rhinoplasties that have extensive tip work, the swelling can last up to two years with subtle changes occuring over 5 years. Symmetry is the key here, the tip swelling will come down.

Lee Kleiman, MD
Annapolis Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

My nose tip is too round: Give it more time

From your picture, it looks as if you are experiencing some normal swelling. Unless you are experiencing redness, drainage, etc, this may be expected from the surgery that was performed

However, it is best that you report this to your surgeon.

If it is of any consolation, we generally do not take any pictures until 6 months afer surgery. This is a general indication of the amount of time it takes for us to assess the final result.

Furthermore, it is generally too early to even consider a revision. Give it some time and reevaluate your result at that time.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

The nose tip is the last to evolve after rhinoplasty

I agree with Dr. Kasden. Your nose will continue to evolve over the next 8-12 months. The tip is the last to evolve.

In your profile picture you can see a significant amount of swelling especially at the columella (the hanging strip of tissue below your tip that separates the nostrils.) You should ask you surgeon if he/she feels that tip taping might improve the swelling more quickly.

After one year has passed, should your nose not meet your expectations, see your surgeon for advice or get a second opinion from a surgeon well-versed in revision rhinoplasty.

Good luck and take care of that nice nose,

Dr. Shah

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
4.8 out of 5 stars 56 reviews

Double break.

While this photo is certainly taken during a relatively early stage in the healing process, I think that what you're noticing is the slightly exaggerated "double break" of the columella (the part between the tip and where the nose meets the upper lip). The supratip itself shows only a minor amount of fullness, however.

I'd be curious to see what your nose looks like now since several months have passed since this question was posted. In any event, certainly wait a full year...and possibly longer...before undergoing any revision. Correction of the hanging columella is sometimes simpler than you might imagine, if it comes to that, though.


David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Swelling in the tip resolves last

There is a modest amount of swelling remaining in the nose and especially the nasal tip at four months after rhinoplasty. There will be continued subtle changes in your nasal tip for two years.

It is definately too early to consider any kind of revision surgery, especially (as you've heard in many of the posts) since your nose looks pretty good. The rule of thumb is to wait a year after a rhinoplasty prior to considering a revision. The only exception to this is if there is an obvious and fairly major residual cosmetic deformity. In that case, it can be justified to go back to the operating room sooner. From the view you provided you definately don't have a major deformity and therefore you should wait.

It's hard for me to predict given the one view we have and the fact that there will be some changes in the next year or so, but I suspect that you will be very happy and that you should probably not have a revision surgery in the future.

Paul L. Leong, MD, FACS
Pittsburgh Facial Plastic Surgeon
4.9 out of 5 stars 47 reviews

You should wait 1-2 years

You will not see your true final result for at least one year after a rhinoplasty. Unless there is something dramatically wrong with your early result, you should wait and see if some of your issues don't resolve with time. Repetitive rhinoplasty surgery often causes more problems than it solves so don't take this lightly. Plus, looking at your photo, your tip doesn't look bad at all.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.