Is my nose too short for my face post Rhinoplasty? I feel like my hump was over dissected and now my nose looks short. (Photos)

Question

I simply wanted my hump downsized and straightened out and instead my surgeon seems to have over dissected my hump and somehow shortened my entire nose. I feel like it doesn't look proportionate. He also seems to have shortened the tip. I also feel pain at the bridge when I lay on my side and sit back up or when I smile with my teeth. It feels like there's pressure where my hump used to be. I'm a month and a half post op.

Ronald J. Edelson, MD · Answer

Your nose looks how I would expect shortly after surgery.  The tip will almost definitely drop down to where it was before but it often takes many months.  Otherwise it looks good.  If it is of any help I see this in many of my patients but in the long run nobody has ever complained that I made the nose too short.  They always drop down.

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for rhinoplasty with technique open with refined the tip. and elevate the tip.

Nima Shemirani, MD · Answer

Dear taniazednanreh13,I would give your nose time to heal, it needs at least another 5 months, maybe even longerThe pain will also improve over timeThere really is not much you can do about it right now, and once all the swelling goes down, it may not look as shortIt looks like you may have some swelling at the root of your nose and once this goes down, it will look longerDr. Nima
  
Member, American Academy of Facial Plastic and Reconstructive Surgery
  
Board Certified Facial Plastic Surgeon
  Board Certified in Head and Neck Surgery

Behrooz Torkian, MD · Answer

Dear Tania, During the healing process, the bridge of your nose will go through many different appearances as the swelling subsides and the healing tissue remodels to its final thickness.  This may result in a less scooped look as time goes on, but in some cases may result in more of a scoop.  While some patients specifically request a scooped nose, it is my experience that most people undergoing rhinoplasty are now looking for more natural looking bridge profiles.  I would suggest you discuss with your surgeon how your specific procedure was performed, as during the one month period it is very difficult to determine the final shape your nose will have once healed.

Johnson C. Lee, MD · Answer

Thank you for your photo. Don't worry. It is too early to tell only 1.5 months after surgery. Your swelling is still quite significant and the tissues have not yet relaxed. I find that the nose often looks more pulled up and shorter in the first few months after rhinoplasty due to the swelling and tightness of the skin. As the inflammation subsides and the skin relaxes, the nose lengthens back out and the true length can be assessed at that time. Hope this helps!Johnson C. Lee, MD Board-Certified Plastic SurgeonIG: @drjohnsonlee

William Portuese, MD · Answer

The noses of three-dimensional structure, so a full set of before and after photographs from all angles are required to make a determination about  your results. It's also important to wait at least one year to allow full healing to occur before embarking on another procedure.

Michael Elam, MD (retired) · Answer

Dear Tania, The size and shape of the nose after rhinoplasty is based upon what the patients personal preference was prior to surgery. Each rhinoplasty is artistically designed to meet the expectations of the patients desired nose. I personally use imaging prior to surgery to ensure that myself and the patient are on the same page regarding results. I have them choose photographs from my before and after books of noses that they love on patients with similar pre-op noses. I perform a lot of ethnic rhinoplasty procedures and it is my experience that patients prefer a more natural looking result so that they are simply enhancing their personal facial aesthetics without a drastic change. I am not sure of what your agreed upon result was with your surgeon however I would address your concerns there and hopefully get some reassurance during the recovery phase. Best regards, Michael V. Elam, M.D.

Richard W. Fleming, MD (retired) · Answer

When you had your rhinoplasty surgery would influence my response to you. A true lateral view of your nose would also be very helpful.How tall are you; a shorter nose is reasonable in a smaller person.

Is my nose too short for my face post Rhinoplasty? I feel like my hump was over dissected and now my nose looks short. (Photos)

Answers (8)

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