Upturned nose 2 weeks after Rhinoplasty. What do you think ? (photos)

Question

I had a Septoplasty + Rhinoplasty about 2 weeks ago. I asked for a natural and masculine look, unfortunately it seems like the doctor changed the angle of the tip way more than it is supposed to be. I guess ideally for male is 90-95 degree. Not even that my nasal bridge looks curvy instead of being straight. Now what do you think ? does a revision fix this issue ? How hard would it be for the surgeon ? does my nose look natural or do I need to be worried about this ?

Marcelo Ghersi, MD · Answer

Unfortunately you will have to wait a while before you can see the final result and/or before any corrective surgery can be made.Chances are the labiocolumellar angle will not change a whole lot. If that is the case, you will need a revision, including some grafting to lenghthen and de-rotate the nose a bit.

Michael A. Persky, MD · Answer

Hi Simonla,It appears that you have had quite a bit of cartilage and bone removed during your rhinoplasty resulting in your upturned tip and sloping profile.  It is best to discuss your concerns with your rhinoplasty surgeon.  It is most important to have clear communication with your rhinoplasty surgeon prior to rhinoplasty to avoid these types of concerns.  At this point you can only be patient and wait 12 months, if your nose is still unsatisfactory at that time, then revision rhinoplasty can be considered.  Good luck and be well.Dr. P

Juan Carlos Fuentes, MD · Answer

After 2 weeks from a rhinoplasty, the results that you see are not final, and within the next 6 to 9 months there will be some changes from scar tissue formation and retraction, the swelling slowly goes away, then you will see how your nose takes a different positon and shape. If after 9 to 12 months you still want a change on your nnose, then will be a good time to get another evaluation to discuss your concerns.

Afshin Parhiscar, MD · Answer

Dear SimonMost of the time, as the swelling decreases, you will have a little drop in the tip unless your surgeon took extra steps to prevent that. At two weeks, you should be patient and give it time. you will have a good idea about the final angle at 3 months. In terms of revision, if you need it, tip de-rotation can be done. It is often limited by the amount of scarring and quality of remaining nasal cartilage. Hopefully, once your nose is fully settled, you will be fully pleased with your outcome.

Michael R. Menachof, MD · Answer

2 weeks following a rhinoplasty,there is still quite a bit of swelling.  Your end result will look very different than it does now.  Typically the tip of your nose does drop somewhat as time goes on.  It is unclear at this point if it will drop far enough for you to be happy.  If it does not, a revision rhinoplasty can fix this problem.  At this point, time is your friend. Be patient.  Stay in close contact with your surgeon. Give things time to play themselves out.  It will improve. Good luck.

Brian J. Reagan, MD · Answer

Thank you Simon for your question.  I prefer to perform computer image analysis with all rhinoplasty consults so there are no surprises when the splint comes off.  Your tip will drop 1-2 mm with time (6-12 months).  Changes can be made if you do not like your results.  The revision rate for rhinoplasty is 5-10% even in the best of hands.All the Best,Dr. Brian Reagan

Remus Repta, MD · Answer

Great question.  Obviously at two weeks there is swelling and additional changes can be seen with ongoing healing.  As the healing process continues there is a chance that your tip will rotate down a bit with the contraction forces of collagen formation.  If the amount that occurs is sufficient for you then you will be ok, if not then a revision to "de-rotate" your nose will be needed.  This can be done in a variety of ways using some cartilage from the septum.All the best,Dr. Remus Repta

Michael Elam, MD (retired) · Answer

Dear Simonla, If you asked for a natural and masculine appearance then I certainly see your current concern. As the swelling continues to dissipate you should have some slight dropping in the tip. At this time it is very early in the recovery phase and you will have to give this a few months to get a better estimation of your final result. Speak with your surgeon and discuss your concerns. Your surgeon knows best what your post operative expectations were and where you are in the recovery phase, as well as what techniques were used during your procedure. Best regards, Michael V. Elam, M.D.

Upturned nose 2 weeks after Rhinoplasty. What do you think ? (photos)

Answers (8)

More Rhinoplasty Questions

Is there a procedure to lift my upper lip back up after it (along w/ my columella) drop & lengthen after Rhinoplasty? (photo)

I believe that my nose has extremely thick skin. It obscures my underlying cartilage and nose structure

What can I do about my nose and my chin?

Can an orgasm cause nose bleeds after Rhinoplasty?

Can a plastic surgeon show me how I would look before I got the surgery? Is there a program where I can do this on my own?

WE SEND PRETTY
EMAILS