2 weeks post op rhinoplasty & dislike results. Will my tip drop? What are my options for revision? (photos)

Question

I had a rhinoplasty to straighten a very slight bump from my nose. I’m two weeks post operation and I really hate the results. I now have a very short, pig nose which doesn’t suit my face. I wanted something very subtle which I specified at every consultation. Will my tip drop? I know it’s early but I had no bruising and very little face swelling so I feel like I heal quickly. What will my options for revision be?

Gary Linkov, MD · Answer

Thank you for your inquiry. Because It's been 2 weeks it's too soon to say if your tip will drop.There is still swelling and it can last for 2-3 months. However, if after a year you decide to have a revision, please make sure you seek a board certified surgeon with extensive experience in revision rhinoplasty. You might benefit from tip defining procedures using either cartilage grafting or suturing techniques that would harmonize your nose and create a more natural, elegant look.

Best,
Gary Linkov, MD
City Facial Plastics

Best,
Gary Linkov, MD
City Facial Plastics

Nirmal Nathan, MD · Answer

Dear JadeRSJ,Thank you for your question. It is true that tip swelling can cause a pig nose appearance, and that can take 2-4 weeks to resolve. Based on your photos, unless your nose was lengthened and de-rotated at the septum, I don't think it will get significantly better. Right now, the only thing to do is wait, follow-up with your surgeon and hope for the best.Best of luck,Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

Jan Zemplenyi, MD · Answer

Thank you for your question. Two weeks is too early to judge your results as it can take months for all the swelling to subside and for your nose to take shape. Try not to worry as you continue to heal.

Vasdev Rai, MD · Answer

2 weeks is nothing when it comes to rhinoplasty. It takes one year and some more to get final outcome. I think that you will be alright. Relax.

Daria Hamrah, DMD, FAACS · Answer

Hi,
Thank you for your question! 2 weeks post rhinoplasty is extremely early to judge the results and if I were you I wouldn’t panic for 3 reasons:
1. You still have swelling no matter how quickly you recover. Swelling particularly in the tip region causes an upturn and rounded shape which makes your nose look like a “pig-nose”. Also the swelling of the tip takes the longest to disappear and could take up to 6 months!
2. Every nose (tip) drops after 1 year no matter what you did to the nose! This even happens if you didn’t have rhinoplasty which is a physiologic thing die to gravity and tissue laxity. So that is great news for you. Sometimes when we do tip plastic we account for that and over correct slightly which means in the first 6-12 months the tip is more up-turned than it is going to be long term!
3. Even if you are not happy after 6-12 months, your nose can be always revised and that is not hard to to! So there is a bright light at the end of the tunnel! :)
In the mean time make sure you stay in touch with your surgeon and follow his or her instructions! 
Best,
Dr. Hamrah @drhamrah

Michael Roskies, MD · Answer

I would say your nose was close to perfect pre-operatively, so it's hard to imagine much was done during the surgery if you verbalized your desire for a subtle change. The fact that you did not bruise or swell much speaks to the fact that not much work was done on the bones/bridge. That being said, it does look like you had a cephalic trim to create less bulbosity to the tip. The swelling that results can certainly rotate your tip upwards. If I'm not mistaken, you have a small scar at the columella indicating an open procedure. Even opening the skin can create lasting swelling for over 2 months irrespective of what was done in the surgery. I would give it some time, at least 2 months, before passing cosmetic judgements. If at that point you are still unhappy, revisit your surgeon to discuss. Good luck.

Michael Sullivan, MD (retired) · Answer

swelling is to be expected after a rhinoplasty. Your swelling will persist for up to 6 months therefore what you are seeing is the normal healing process. Over time as the swelling recedes your nose will start taking shape. Listen to your surgeon and don’t obsess about the appearance right now. In my book titled “If Your Nose Doesn’t Fit “ is a chapter devote to the healing process. Our can find it on my website or call my office for a complimentary hard copy. Michael Sullivan Columbus, Ohio

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