You have undergone an open revision rhinoplasty and it takes time for the tip swelling to subside, even months in many cases. Preop pictures would be helpful but I do not see anything of concern at 18 days. Your anticipation of correction in this secondary surgery should not prompt you to be impatient and worry about things you have read or seen in photos. Sometimes swelling can be unpredictable but all looks smooth at this time. We do not know the degree of correction attempted nor the photo rendition of the degree of correction. Rely on your surgeon to get you through this period.
Thank you for your question. Honestly, 18 days is very early to judge regarding a polly beak deformity or an inverted V deformity. The reason for this is the fluid channels in the nose are recreating themselves and this takes place over the first 3-10 weeks. While they are forming, fluid backs up in different areas making the nose swollen in certain areas. It is very common to feel as if you have a polly beak deformity immediately after revision rhinoplasty. Share these concerns with your surgeon, have him make note of it, and revisit these concerns over the next year as the swelling subsides. Some surgeons may offer a steroid injection in the tip to lower the scar tissue that sometimes forms in a revision but the best time to do this is dependent on your surgeon. Hope this helps!!
Thank you for your question. It appears from your images at 18 days that you have an expected amount of swelling and fullness. I am not seeing the concerns you mentioned at this point. I recommend that you ask your surgeon if he has such concerns as well.
Sergio Maggi, MD, FACS