Short piggy nose after rhinoplasty. What could be done to make my nose look more natural? (Photo)

Thank you for your question. Three weeks is still quite early after rhinoplasty. The tip will drop down (it always does) and the asymmetry is likely related to swelling and early scar tissue. Both of these issues should improve with time. Stay in close contact with your surgeon, because there are some things that can be done  during the first few months to help improve the symmetry, such as massage of the nose and steroid injections. Good luck and have a great day!

Hi. 
Been only 3 weeks after surgery, I would definitely wait longer for swelling to subside and for healing to take place. The tip does tend to drop a little over time. If after 6-12 months, you are still unhappy about your outcome, then by all means speak to your surgeon about the options.
All the very best.
Dr Ray Goh
Valley Plastic Surgery

Thank you for the question and photos.  At three weeks post op it is too early to consider a revision.  With time the tissues will likely relax some and the excessive rotation will likely improve some.  While I agree your nose is over rotated at this point with time it may improve some and you may find it acceptable.  Even if it is clear you will need a revision giving more time to for the inflammation to resolve will make the revision less difficult and therefore more likely to achieve your desired outcome.  I would suggest waiting 10 months to a year before seeking a revision.  Discuss your concerns with your operating surgeon and get his/her opinion regarding how to proceed, if you don't get a satisfactory answer then seek a second opinion with an in person consultation with an experienced rhinoplasty surgeon.  The over rotation  can be corrected with various cartilage grafts which can usually be obtained from your own septum or maybe ear cartilage.  Good Luck.
Jeffrey Thaxton, MD FACS
certified, American Board of Plastic Surgery
member, ASPS and ASAPS

Rhinoplasty is a surgery to improve the shape of your nose for breathing or appearance.Recovering from rhinoplasty is a healing process. Part of that process is waiting for swelling to go down. One side may calm down before the other. Until that swelling settles, it would be difficult to make a clear assessment of your outcome. Please be patient before looking into revision for a safe and happy outcome. Safety comes first.

Your concern is real in that your tip is too rotated creating a 120 degree nasolabial fold; ideally a 105 degree is most appropriate for most female patients; the shorter you are, the higher the angle, and the taller you are the smaller the angle. A consultation with a nose specialist would be very helpful. Unfortunately, surgery to derotate your nose is more complicated and often requires an organ donated rib cartilage graft which will be placed in front of your septum, called a septal extension graft.

Thank you for the photo and questions but you are still early post op and will see further changes in your nose but if you have concerns relate them to your surgeon.Dr Corbin

I understand your concern about nasal length at this time but it is impossible to evaluate your result just 3 weeks after rhinoplasty surgery. I recommend you be patient because your appearance will change over the next few weeks as healing progresses. Although it would require a revision procedure the nose can be lengthened if necessary.