Lumpy tip 11 months post open rhinoplasty. Can it be improved with filler or will I need another surgery? (Photo)

Question

I'm so upset. I am 11 months post open rhinoplasty to correct several problems (crooked septum, droopy tip, hanging columella and alar retraction). My nose is still crooked and looks like it has been smushed to one side and my nostrils are still too large, but I can live with those issues. I CANNOT live with the lumpy asymmetrical tip from what I presume is poor placement of cartilage. Can the appearance of the lumps be minimized with filler? I really don't want another surgery so soon. Help!

Gianfranco Frojo, MD · Answer

I usually say to wait 12-24 months before making a final decision on a rhinoplasty, but in your case...I must agree that there is some significant deviation of the nose to your left, asymmetric nares, alar notching/retraction, flared medial crural footplates, and some midvault contour irregularities. I would recommend seeing a board-certified plastic surgeon (with a 6 year integrated plastic surgery residency and The Aesthetic Society accredited aesthetic fellowship) for a consultation. I would recommend a physical exam in person to further evaluate what is going on with the nose.

Philip S. Schoenfeld, MD, FACS · Answer

The areas of your nasal tip that you have highlighted are actually the normal anatomy of a nasal tip and not lumps.  They are the domes of the lower lateral cartilages and they are not equal which gives the appearance of lumps in a thin skin individual and it is either the reason or the result of your nasal tip still being crooked.  Filler will absolutely not remedy this situation but your surgeon did not do an awful job with your nose so I would discuss your concerns with them!

Lumpy tip 11 months post open rhinoplasty. Can it be improved with filler or will I need another surgery? (Photo)

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Lumpy tip 11 months post open rhinoplasty. Can it be improved with filler or will I need another surgery? (Photo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

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