Why does my nose look so wrong after tip plasty & alarplasty? Will I need a revision?

Question

I had my alars and hanging nostril trimmed and tiplasty harvested from my ear. I am now day 9 since surgery and my nose looks so wrong for my face. It looks bottom heavy and droops downwards and looks too long from profile view. My plastic surgeon said as swelling goes away it will get smaller and the tip will lift up. I'm worried that it won't look much different. I attached my "wish pic" that was shown to the doc. Will i need revision?

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for enquire.Swelling after a rhinoplasty depends of the surgery complexity.In this regard, the nasal swelling Post-op It can last from two weeks to two months.To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.Kind regards, Dr. Emmanuel Mallol Cotes.-

Thomas Trevisani, MD · Answer

I see your concerns. In order to move closer to your wish pics--you would need a profound volume reduction and major bony narrowing. Then, after that is achieved-address the tip definition. At that point tip augmentation may or may not be helpful-as well as tip rotation upward. So, yes- in my opinion- it appears that revision might be necessary through the closed Rhinoplasty technique

Adam Bryce Weinfeld, MD · Answer

Too early to tell.I should say that the skin of the nose of your wish pic is much thinner than your skin is thus it might have not been the best goal to have in mind.

Curtis Perry, MD · Answer

It is too early to judge anything about the appearance. Finished results will be at least 6 months to a year.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and you are too early post op to judge your final result.  That said from your wish pictures you would have benefited from a chin augmentation at the time of your surgery and more then just an alar and tipplasty to gain a better result.  If after 3 to 6  months you are still unhappy, go on some complimentary consultations with experts in your area that use digital photography and see what can be done to enhance your appearanceDr. Corbin

Why does my nose look so wrong after tip plasty & alarplasty? Will I need a revision?

Answers (6)

Answer: Concerned about appearance after tip plasty & alarplasty?

Answer: Concerned about appearance after tip plasty & alarplasty?

Answer: Rhinoplasty result

Answer: Rhinoplasty result

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Why does my nose look so wrong after tip plasty & alarplasty? Will I need a revision?

Answers (6)

Answer: Concerned about appearance after tip plasty & alarplasty?

Answer: Concerned about appearance after tip plasty & alarplasty?

Answer: Rhinoplasty result

Answer: Rhinoplasty result

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.