It is too early to make a determination about the final result.
can be swollen for up to a year or more. Swelling will depend upon the
nature of maneuvers employed, presence of grafts or implants, thickness
of skin, open vs closed, revision vs primary, etc.
Kenneth Hughes, MD
Los Angeles, CA
It's unlikely your columella will "lift" anymore than it already has. Initially after rhinoplasty surgery, the tip is rotated a bit more than it will end up due to swelling. Then, it typically drops a bit and settles into it's final position. You still have a fair amount of swelling in the tip still, so the overall appearance will improve over time. Also, for future reference, the proper view for evaluating the alar-columellar relationship is the profile view. Best of luck.
The best view to diagnose a hanging columella is the lateral profile view with smiling. These frontal pictures don't mean very much in evaluating the columella other than the anterior one third of the columella looks better after surgery. There also may be residual swelling in the area that may take up to one year to resolve.
Consult and trust your surgeon. Be patient.
Dear Cgirlcan, I believe I have answered a few earlier questions you have posted as I recognize your Cgirl name, so hello again! One of the most important parts of rhinoplasty is making sure you and your surgeon are on the same page and that you have discussed your exact desires for surgery and that your surgeon can realize that through his/her work. I hope that you had this discussion with your surgeon and the best thing to do now is to reopen that discussion with your concerns. You have a lot of swelling in your tip and you still have some considerable time on your side for healing however I am not sure you are going to consider your final results exactly the same as your desired results. With that said, no need to be nervous you have a full year of recovery and then you can determine that then. Best regards, Michael V. Elam, M.D.
I would try to be patient as there is obviously alot of swelling still present in your nose. I would express your concerns to your surgoen though. At a year what you see should be the final result.