Nose never returned to normal post pregnancy (photo)

Question

35 year old woman who gave birth 2.5 years ago. My nose widened and changed shape during pregnancy, and it has not returned to its normal state. What procedure would repair my nose to the shape it was before pregnancy and what has caused it to remain wider and more bell shaped? Thanks !

Gianfranco Frojo, MD · Answer

There are many changes with pregnancy. Ligamentous laxity can affect stability of all weight-bearing joints from the pelvis and even in the nose. Many of these changes appear to be mediated by the hormone relaxin. Some smooth muscle may also be changed by progesterone (temporarily or permanently). The best option to change the nose in my opinion would be a rhinoplasty.

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (particularly the tip)!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos , you have nose tip collapsed, for this I recommend revision rhinoplasty surgery , and if you can send your photos from side and front profile with better light we can make true evaluation.
It would be better face to face consultaion.
Best Regards!

Anya Costeloe, DO · Answer

Hi! Thanks for your question and photos. During pregnancy, hormonal changes can lead to increased blood flow and fluid retention, which may cause the nose to appear wider or more swollen. In some cases, these changes do not fully resolve postpartum, potentially due to persistent soft tissue changes or alterations in the nasal cartilage and skin. Rhinoplasty can address changes in nasal width and shape, allowing for the reshaping of cartilage and soft tissues to restore the previous appearance. I recommend a consultation with a facial plastic surgeon who specializes in rhinoplasty. During this consultation, the surgeon can assess the structural changes in your nose and discuss the potential procedures that could best restore its previous shape. Best of Luck!

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

Tanveer Janjua, MD · Answer

The hormones of pregnancy can make the skin of the nose lax and hence change the shape to a wider tip and nostrils. This can be corrected with alarplasty and tip-plasty. Both are easy in office procedures that can be done under local anesthesia. 
Regards
Dr. Janjua

Gary M. Horndeski, MD · Answer

Your tip has obviously widened and the cartilages have separated. You will need at least a tip rhinoplasty and perhaps even more depending on what your goals are. Your photographs are limited. I would need a side view to give you a more accurate answer. You may benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

We have seen a widened nasal appearance after pregnancy that can last 12 months or longer. At 2 and 1/2 years after your pregnancy, I don't think these are related. Please consider visiting with a reputable rhinoplasty specialist for an examination you could so you could see what might be best for you moving forward. Thank you for your question, and I hope this is helpful. Sincerely, Dr Joseph

Zoran Potparic, MD · Answer

Very likely that changes you observed are result of swelling and hormonal changes during and immediately after pregnancy. Only on the basis of in person evaluation, a board certified plastic surgeon, expert in rhinoplasty, would be able to give you better idea what treatment you should consider. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Nose never returned to normal post pregnancy (photo)

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