(26F) & overprojected tip 1.5 years post-op, is my nose swollen or is it going to stay like this? (Photos)

Question

Hi! Almost two years ago I've had a rhinoplasty to remove a dorsal hump and refine the shape of my nose, but I don’t know about the results. While my dorsal hump was successfully removed, I feel like the visual "weight" of my nose was transferred to the tip, making it look huge and witchy. Is my nose still swollen or is it going to stay like this? What should I do?

Eric M. Joseph, MD · Answer

Nearly all of your swelling should be dissipated one and a half years after rhinoplasty surgery I do agree that you would have a less distracting nasal profile appearance if you tip for the projected and rotated additionally. Depending on your examination, revision rhinoplasty surgery may be considered for deprojecting and rotating your nasal tip for a less distracting and more feminine nasal profile appearance. Wishing you well moving forward. Sincerely, Dr. Joseph

Ajaya Kashyap, MD · Answer

Thank you for your query. The two photographs you have shared do show an “over-projected” tip.  More photographs will be needed to evaluate. This can be corrected with a tip rhinoplasty if needed. Please see your rhinoplasty surgeon and have him/her examine you and help you with all your concerns. All the best!

Zeshaan Maan, MD · Answer

Hi - it looks like your surgeon did a great job with the dorsum. I'm not sure what discussion you had regarding your desired outcome for the tip, but most likely at 2 yrs after a primary rhinoplasty you shouldn't have much swelling. I recommend going back to your surgeon to discuss your concerns and options. Your surgeon may also recommend getting a second opinion regarding what a revision surgery could achieve.

Steven M. Denenberg, MD · Answer

Your nose unfortunately shows two of the most common problems with rhinoplasty results: the tip of your nose was left too projecting and too long. It turns out, decreasing the tip's projection and appropriately elevating the tip are technically difficult, and require expertise that most plastic surgeons don't possess. The good news is that, in expert hands, those two changes are two of the most predictable changes to make, even in a revision. I think if you were to see a morphed version of your profile, showing "de-projection" and elevation of the tip, it would be just what you're looking for.

(26F) & overprojected tip 1.5 years post-op, is my nose swollen or is it going to stay like this? (Photos)

Answers (4)

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