Large bridge bones after rhinoplasty. Will I required a revision? (Photo)

Hi @ereeen. Six weeks is very early in your healing process--I recommend waiting a full year to judge your final results. If you are unhappy with the results after 1 year, I recommend considering a revision rhinoplasty.

Best of luck,

Dr. Nima

Thank you for your question and photos. When recovering from rhinoplasty, it's important to remember that the nose can continue to shift in shape and alignment throughout the following year. Being that your surgery was only six weeks ago, you’re likely still experiencing some swelling that will significantly impact your ability to see your final result.
Though much of the swelling will dissipate within four months, your nose will be in a phase of recovery for at least one year following your initial procedure. Waiting until this entire recovery process is complete is advised in order to assess the final results and make further adjustments, if necessary. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can go over the recovery process with you.

Six weeks is indeed very early in your healing process to judge a result, and as a board certified plastic surgeon with decades of experience in rhinoplasty surgery, I would absolutely advise you to be patient and to meet with your surgeon with any questions at this early stage. The bumps could simply be swelling. I would hope that your surgeon would be very available to meet with you postoperatively to discuss any concerns you might have. In my practice, my door is always open to all of my patients postoperatively. The process of surgery can require great patience and hand-holding, as each patient’s tissues heal in a slightly different way. If your surgeon is unwilling to meet with you, or to perform a revision were it ever necessary, you should consult with another board certified plastic surgeon. I highly recommend seeking a surgeon who has decades of experience with revision rhinoplasty, as revisions are much more complicated and should only be performed by experts in the field.

Thank you for your question. During many rhinoplasties, the nasal bones are broken and moved in order to make changes to the shape of the nose. If the bones do not sit exactly where desired, even a millimeter off can be noticeable since the skin over the bones is so thin. At six weeks out, it is unlikely that the bones are still mobile, and straightening the nose will likely require revision. It it also possible to camouflage contours with fillers or cartilage. I hope this information helps, and I wish you the best.
-Dr. P

Hi there! I can see what you're referring to. It's possible the nasal bones shifted or a callus has developed. If it's 6 weeks, there's still time for improvement. In these instances, I may use steroids, compressions, and taping to see if changes occur. If none, it may require osteotomies and rasping to improve the appearance. I don't believe that any implantation of bone was performed. Hope that helps you!