Tip cartilage shifted after primary rhinoplasty - Would I need a revision? (photo)

Question

Surgery was in late August, so I am around 4 months post op. There is asymmetrical swelling on the right side, which I know is normal. However, I know what is NOT normal is how the cartilage implant (from my septum) at the tip of my nose shifted to the right. I understand scar tissue inside the nose can pull the cartilage more to one side than the other. I would like to get other doctors’ perspectives on if I would need a revision before I see my doctor in January? Thanks.

Zoran Potparic, MD · Answer

As you may already know, it takes one year in most cases, for tip swelling and scarring to settle. Only at that time one can effectively evaluate potential deformity and suggest correction. I do not recommend doing anything for longer time since it will introduce new swelling/scarring complex and may further compromise ultimate result. Patience is the most difficult to ask for both from patient and surgeon but in this case it really works. Discuss your concerns with your surgeon in next follow up visit. Good luck.

Miguel Mascaro, MD · Answer

Thank you for your pictures! There is a minor shift present. As you are only 4 months post op, it is still a little too early to do anything in regards to revision work as things will continue to shift over the ensuing months.  Bring this up to your doc at the next visit and that way they can set up a plan for you going forward.  Short term, doing a liquid rhinoplasty is completely reasonable and something that can be done to help correct the symmetry while your nose settles post surgery.  I hope some of this helps!

Darryl J. Blinski, MD · Answer

Yes I see the shifting of the septal cartilage, though minor. I might offer Filler redo Rhinoplasty with HA filler. To avoid additional surgery and all the risks and recovery time.

Tip cartilage shifted after primary rhinoplasty - Would I need a revision? (photo)

Answers (3)

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.

Tip cartilage shifted after primary rhinoplasty - Would I need a revision? (photo)

Answers (3)

Browse related questions

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.