Revision rhinoplasty, 5 months post op, how long should I wait before undergoing another revision? (photos)

Question

I had a revision rhinoplasty with septoplasty 5 months ago. I still have right nostril retraction. My bridge is much higher and my nose tip looks so bolis much bigger than prior. Very asymmetrical. Hard to breathe now. How long should I wait before under going another revision? The first two pictures are current the last in the right is before . My paper lip is longer now as well.

Thomas A. Mustoe, MD, FACS · Answer

After a primary rhinoplasty you need to wait twelve months to do anything but a minor revision such as filling down a residual bump, and that is because  it takes at least that long for all swelling and inflammation to completely resolve.  Operating before that time results in excess swelling and inflammation with unpredictable outcomes. In your case after two rhinoplastiies, the swelling takes even longer, and I would recommend waiting closer to 18 months. In the meantime hopefully some of the swelling will go  down and help the overall appearance.

Steven J. Pearlman, MD, FACS · Answer

It is certainly frustrating waiting a year or more but this is very important, especially for tertiary revision rhinoplasty. After the skin is elevated, inflammation sets in. Scar tissue builds up for up to 6 months then takes another 6 months to fully soften. IF you go back too soon, your surgeon will not be operating under ideal conditions. Also any subtle changes, especially in the tip will continue healing for a year or more.

John Layke, DO, FACS · Answer

After any rhinoplasty, or revision rhinoplasty, it is usually best to wait at least 1 full year, as the nose will continually change.  Relay your concerns to your surgeon, and he or she will provide you with a reasonable timeline of events to expect certain results.  Be patient, and if at one year you are still unhappy, you may consider another revision.

Steven Wallach, MD · Answer

I would give it at least a year and sometimes longer until all the swelling subsides. Good luck......

Revision rhinoplasty, 5 months post op, how long should I wait before undergoing another revision? (photos)

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Answer: Rhinoplasty revision

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Revision rhinoplasty, 5 months post op, how long should I wait before undergoing another revision? (photos)

Answers (4)

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.