I'm 5 months post op rhinoplasty and feel like my tip is over projected? (photo)

Overprojected nose 5 mo's post op will go down slightly but I think it may still be overprojected. Discuss this with your surgeon and if u r not satisfied seek a second opinion. I would wait 3ore months as u may need other small things tweaked at the same time.

It is likely that the overprojection of your tip does not relate to the swelling. Swelling can make the tip look thicker, but really not too much more projected. You may need a revision. I typically advise waiting at least 6 months after your initial surgery to have a revision.

Swelling can certainly play a role in this aspect of tip healing. Your surgeon can probably provide you with the best estimation of possible healing time.Kenneth Hughes, MDLos Angeles, CA

Swelling and bruising after rhinoplasty are generally not so severe, but each patient is different, and severe swelling may take months to completely resolve. During this time the tip may continue to shrink and yes, de-project as well. Consider following up with surgeon to express your concerns.

It looks like your nasal bones were broken. This usually makes the recovery process more rough (swelling, black and blue). The tip usually retains the swelling the longest since the skin is thicker there. On your after picture the tip does look over projected but that can fall as the swelling goes down. It's very hard to be patient when you are looking at your face every day but I would wait another 4-5 months before making any final judgments on the appearance of the tip.

A profile view of your nose would be necessary for me to accurately evaluate your projection. I suggest you wait another 5-6 months before you critique your result.

Most rhinoplasty patients do not have as much swelling and bruising as you incurred. Many of my patients are from out of state and country so I often take post operative pictures after the first week or at their splint removal with minimal excess swelling. They will swell a bit after the splint removal and some patients may have more bruising and swelling then others however this usually dissipates quickly while the last small percentage of swelling can slowly dissipate over six months to a year. You had extreme swelling and bruising which will increase your recovery time. Even with that said I feel your nose is over projected and while you may see some slight improvement it is my opinion that you will need a revision procedure. I would wait a full year so you may address any other possible refinements that may be necessary to have the best aesthetic result. See you tube video link below. Best regards, Michael V. Elam, M.D.

Hi,Projection is usually seen on a full lateral view. However, with last pic (3/4) it appears that your tip is over-projected. I don't think this has anything to do with swelling at this point.Best,Dr.S.