4 weeks post op Rhinoplasty, my nose is so crooked. Any suggestions? (photos)

By the looks of your photograph, the tip is towards the left.  This could be due to swelling that can take several months to fully resolve or due to a shift in the underlying cartilage.  Discuss this with your surgeon at your follow up visits.  Occasionally if swelling is pronounced, injections can be used to settle it down.  If there has been a true shift this may require revision work to be done once all of the swelling has subsided. 

Your nasal appearance on front-view appears improved compared to pre-op. Your nose appears swollen. You appear to have a slight indentation along your left bridge, but this could be from asymmetrical swelling along your right bridge.You should discuss your concerns with your surgeon, and consider getting a second opinion if necessary.Wishing you well.Dr. Joseph

I am sorry to read about your concerns. I would recommend returning to your surgeon for followup and voicing your concerns. I do agree that your nose is still shifted off to the side. This could be temporary or long term in nature. Otherwise, you appear to be healing well. The upside is that if your nose does heal in that position any revision procedure to create additional straightening should be relatively straight forward. However, the first step should be to discuss with your surgeon. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

I agree that this is generally unusual 5 weeks following surgery. There may be good reasons for this depending on what you had preoperatively and what was found and performed during surgery. I would make a follow up appointment with your surgeon and review your concerns. I would expect he/she is just as concerned as you are and interested in your happiness. My rule of thumb after 30 yrs of Rhinoplasty is that if it is crooked at 10 days further improvement is unlikely.Best wishesR W Maloney, MD FACSNaples Fl  

Dear Gem123, I would see your surgeon for a post operative evaluation and discuss your concurs. He/she will know best where you are in the recovery phase and an examination will help determine the cause of the crookedness. Please remember you are early in your recovery phase so hopefully your surgeon can help you with some piece of mind while healing.

 I have performed Rhinoplasty for over 25 years and mu suggestion is to take a deep breath and allow your nose to heal.  I see all Rhinoplasty patients frequently during the first 6 months to emotionally help those that are worried about post Rhinoplasty swelling.  Once the cast is removed at 1 week post-op, the nose can and will swell from the Rhinoplasy that disrupts the lymphatic drainage in the nose.   The lymphatics hook up at about 6 months post-op, so until then the nose will swell.  The caveat is that the nose rarely swells evenly and thus swelling can make the nose appear crooked.  Beginning at 1 month post-op I instruct all Rhinoplasty patients in proper manual lymphatic drainage of the nose to gently push out the nasal swelling.  If your nose was straight after the cast was removed and you have not bumped your nose, there's no reason for the bones and cartilage, of the nose, to have inadvertently shifted.  You should call and see your Rhinoplasty Surgeon to discuss what he/she advises you do to help you get through this post-op period as easily as possible.  Hope this helps.

You have a legitimate concern and a known compilation of rhinoplasty.  Stay close to our surgeon.  If it does not resolve itself within 3 months from surgery, you may need a revisional surgery to straighten it.

It takes weeks to months to heal from Rhinoplasty surgery.  I see your concern in your photos. Hopefully, you have not experienced trauma during the healing process.  Follow up with your Plastic Surgeon for an exam to address these concerns.  Best wishes!