Over 10 months post op - will my bulbous nose correct itself with more time? (photos)

Question

My surgeon thinks the bump will go away but my nose still looks bulbous. It has been over ten months. Is there any hope or will it likely stay this way?

Eric M. Joseph, MD · Answer

The reason I say this is because swelling tends to dissipate from the upper 1/3 of the nose before the lower 1/3 of the nose. In that regard, I feel that what you are looking at at the top of your bridge is likely permanent. An examination would be necessary to confirm this. If that small bump feels hard like bone and cartilage, it's not likely going to disappear. If this is causing you significant to satisfaction, please consider meeting with another reputable rhinoplasty specialist for a second opinion. Sometimes that can be very helpful. I wish you well moving forward, and thanks for this question. Sincerely, Dr Joseph

Bora Ok, MD · Answer

Hi from Istanbul! For noses with thicker skin, the refinement of the nasal tip can continue for up to 1.5 to 2 years post-op. Thus, at 10 months, it's still premature to judge the final outcome. That being said, it appears that you may benefit from an additional refinement and narrowing of the nasal cartilages might lead to a slimmer tip. If, after the first year, you are still not satisfied with the results, you may consider a revision surgery. Best of luck to you on your journey!

Gary M. Horndeski, MD · Answer

At ten months, your results are usually final.  If you do not like the tip then you will need a revision.  About 15% of rhinoplasty's need a revision so this is not an unusual occurrence.

Best Wishes,

Gary Horndeski, M.D.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos if the swelling has not yet passed 6 months after the surgery, it will be permanent, I definitely recommend revision surgery for you.
It would be better face to face consultation.Best regards!

Zoran Potparic, MD · Answer

Tip of the nose is the last to settle after rhinoplasty. It takes minimum of one year for result of rhinoplasty to mature, tip may take even longer. So, your result is not final and you can expect that will improve further. Taping of the tip and Supra tip area over night May speed up maturation and reduce swelling. Good luck.

Ronald J. Edelson, MD · Answer

You should find out if there are cartilage grafts in your tip. Removing the graft would be helpful. Also I think your bridge is irregular and too high

William Portuese, MD · Answer

At 10 months, you're fairly close to the final healing. The bump along your bridge line is probably not gonna go away and will need a little touch up procedure to rasp that down. With respect to your bulbous nasal tip, it really depends upon what techniques were used, and the thickness of your skin in the nasal tip itself. Thick skin in the nasal tip will limit how much refinement can be accomplished

Darryl J. Blinski, MD · Answer

Posted photos demonstrate need for full revision of hump and tip asap. Expect fees in $10,000 ranges fur revisions. Best to virtual consult with …..

Mats Hagstrom, MD (license on probation) · Answer

At 10 months, your results are more or less final. To make an accurate assessment regarding the outcome of a plastic surgery procedure especially surgery like rhinoplasty we always need to see a complete set of proper before and after pictures. If you don’t have before and after pictures and contact your provider and ask them to forward the pictures they took. Waiting longer isn’t your outcome. At this point, you need to ask yourself if the outcome warrants having revision surgery and if that’s the case, is your surgeon the right provider to do the revision? 
Secondary rhinoplasty, or revision rhinoplasty is more complex and difficult than primary procedures.
The following are some general guidelines to help find the best provider. These are probably applicable for both primary and secondary procedures.
Finding the right plastic surgeon.
One and a half months is not enough time to lose a substantial amount of weight if it's done in a healthy manner.
I'm going to include a write up that I did from my experience of seeing thousands of patients in regards to weight loss.
I personally lost 50 pounds in about eight years ago.
My write up his part for my own personal experience and party from interviewing patience.
Finding the right plastic surgeon is not easy.
I see medical professionals choosing surgeons they think are the best but in reality I only average.
The following are my recommendations for how to find a truly talented board-certified plastic surgeon.
Start with the website like yelp and write down the name of about 20 board-certified plastic surgeon's with excellent reviews and at least 20 reviews.
Next go to the following website and check for reviews on each of those doctors.Real self, rateMD.com, Vitals.com and WebMD.com
 A Doctor Who has organic reviews meaning they have not been manipulated should have an equal distribution of reviews on all various websites.
A Doctor Who has many reviews on a single website but few reviews on the other website showing indication that reviews may have been manipulated.
Yelp is the most difficult website to manipulate so it's a good one to start with.
Many doctors will encourage their patients to write reviews for them.
This may or may not include incentives for the patients.
These types of reviews are not considered organic and in my opinion are manipulated.
I've seen businesses that of been open for less than six months have close to 100 reviews.
I know some of the most talented doctors who been in practice for over 20 years have two or three reviews.
Doctors have a strong presence on social media are good at social media. This has no correlation with their surgical talent.
One of the most talented facelift surgeons in the world lives in San Francisco.
He is often booked up for more than six months.
He does not even have a website.
Plastic surgery is a competitive field and many plastic surgeons have sophisticated marketing teams.
Once you've isolated 10 doctors who seem have an overall excellent reputation you should schedule several in person consultations.
Even if you really like the first doctor you meet you should follow through and go through all of the consultations.
If the consultation is performed by a patient care coordinator or sales person then be leery.
If it seems like commission sales and that's what it is.
How much time did the doctor spend with you?
Did the doctor give you a realistic expectations or simply tell you how great you're going to look?
Reviewing before and after pictures is very important.
A talented plastic surgeon that has extensive experience with liposuction should have at least 30 to 40 before and after pictures of liposuction cases.
Ask to see results that are average excellent and not so good.
Ideally you should ask to see 10 consecutive cases but it is unlikely he will be able to get that.
Price is important but there is little correlation to talent and price.
That said the doctors who give bargain basement prices are probably not the ones you want to go to.
Ask each doctor with their revision rate is.
Doctors or highly committed to getting the best results should have a low threshold for doing a revisions.
Doctors who claim they never do revisions are either not true patient advocates or not being honest.
Ask each doctor what your policy is for revisions.
Who pays for it?
If fairly common practice is the doctor will not charge for revisions but may ask the patient to pay for all or some of operating room or Anastasia fees if they're needed.
Review what each of the plastic surgeons offered and use your gut instinct of who to go with your gut instinct.
I hope you find it helpful.
Best,
Mats Hagstrom M.D.

Over 10 months post op - will my bulbous nose correct itself with more time? (photos)

Answers (9)

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