5 months post op, swelling or polly beak deformity or bulbous nose? Should I have another revision? (Photo)

Question

Hello doctors - I underwent revision rhinoplasty with a silicone implant on my bridge, rib, and ear cartilage for the tip and alarplasty five months ago. I've noticed that my nose isn't getting smaller. Some people suggested I might need another nose revision. I'm reluctant to undergo unnecessary revisions. Could it be just remaining swelling, or might I have developed a pollybeak deformity? Should i do another alarplasty to make my nose smaller or total nose revision?

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! At 5 months post-revision, there's still time for swelling to improve. Waiting at least 12 months before determining the need for additional surgery is a good idea. Taping and steroid injections in the meantime are often useful for swelling. An alarplasty may be able to adjust the nostril asymmetry present. I would continue follow-up with your surgeon until enough time has elapsed. Hope this helps.

5 months post op, swelling or polly beak deformity or bulbous nose? Should I have another revision? (Photo)

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