Why is my nose tip hard 4 years after rhinoplasty?

Question

The firmness at the tip of my nose never went away after my surgery. My nose is still considerably stiffer than a regular nose. What should be done to fix that?

Afshin Parhiscar, MD · Answer

Dear rkself It is hard to render a guess without any other information but you likely have a tip graft and a strut. Sometimes a bony graft from the septum is used as the strut and that can remain hard. You dont need to do anything unless you are having a problem.

Sirius K. Yoo, MD · Answer

Thank you for your question.  Its impossible to know the exact reason without more surgical information because there are several potential causes of the tip feeling more stiff than prior to surgery.  This includes grafts, and suture techniques.  When the tip is re-positioned during surgery, usually it will heal more predictably in the current position if it is stabilized.  This usually leads to the tip feeling more rigid.  The added benefit is that over time, as you age, it should resist the droop that happens to many people.  Unless you have a specific problem with it feeling firm, there is nothing that needs to be done as it generally does not cause problems.  All the best!

John Layke, DO, FACS · Answer

The firm feeling that you may have after a rhinoplasty depends on what was actually done.  Many times in rhinoplasty surgery, cartilage grafts are placed in order to support the existing structure of the nose.  This leads to the nose having an unnaturally stiff feeling.  We often sacrifice the way the nose feels with the way the nose actually appears, as the most common cause of dissatisfaction is the visual result.  Have your surgeon examine you and he or she will be able to reassure your fears.  Good luck!

Why is my nose tip hard 4 years after rhinoplasty?

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