Is this just swelling after rhinoplasty? (Photo)

Hello Savannah1798,

I respectfully disagree with the other responders about it being too early to tell.  I agree that it has been a short period since your surgery, however the photographs you posted clearly show a (probably persistent) deviation of the caudal and dorsal septum that manifests as nostril asymmetry, a 'slanted' columella, and deviation of the bridge and tip of your nose.  In addition, you have an irregularity on the bridge of your nose that corresponds to either septal or upper lateral cartilage excess.  I believe that these issues will not go away with time, unfortunately.

I think that you will benefit from a revision rhinoplasty in the future.  The traditional dogma states revision surgery should not be attempted before one year, however performing it earlier should be considered on a case by case basis.

Revision rhinoplasty is more difficult than primary rhinoplasty, and you should consult with surgeons that have a reputation as rhinoplasty specialists.  These people should be certified by either the American Board of Plastic Surgery or the American Board of Facial Plastic Surgery.

Best of luck.

Greetings. Your newly posted photos are helpful. Here's my take:

It is definitely too soon to judge your final result, only one month after Rhinoplasty Surgery. I see your two concerns. You have very thin nasal skin, so you may see minor irregularities more than someone with thicker skin.

The indentation in your bridge is small. It may not get better, but this may be improved, quickly, with an injectable Filler treatment. Again, my personal preference is to use Silikon-1000, a permanent off-label filler. I use Silikon-1000 liberally in my own nose job patients. in patients with thin skin like you, a small amount of silicone can lead to a world of improvement in my experience.

Your nostril asymmetry is a bit more involved. Your columella is tilted toward your right (possible deviated septum), and you appear to have nostril retraction on your right. The base of your nose and tip will certainly change, and possibly improve, over the next few months.

You had a closed rhinoplasty and have a relatively small amount of swelling only a month post-op. You will get an idea where you stand, long-term, over the next 2-3 months.

In my practice, nasal indentations and nostril asymmetry may be improved non-surgically with Silikon-1000, and my practice philosophy is to reserve a revision rhinoplasty as a last resort. If you're concerned by your appearance certainly get a second-opinion from a revision rhinoplasty specialist, or a facial plastic surgeon experienced in the delicate art of using fillers in the nose.

I hope this helps you, and all the best to you.

Dr. Joseph

Hi,

One month is very early but unfortunately as swelling goes down, people with thin skin such as yours end up noticing more irregularities and not less.  I have not seen your "before" pictures.  Perhaps you can focus on the improvements so far and then plan a revision a year from now.  The nostrils are almost never perfectly symmetric in most people but the issue that is making things worse is the notable asymmetry of your tip cartilages (the lower lateral cartilages) which you can see on the base view.  These may have been there before surgery and not addressed nor improved or these asymmetries may have been created by the rhinoplasty.  Hang in there.  Dont panic.