6 months post rhinoplasty. Will deviated septum and length change with time? Should I consider a revision (photos)

Question

I had an African American rhinoplasty 6 months ago. My doctor used rib cartilage. I noticed my bridge is slightly deviated and the tip is very long from the side profile. Is this something that goes down with swelling as I have thick skin? Or am I due for a revision?

Ajaya Kashyap, MD · Answer

Thank-you for your question! The length of the nose   and the slight deviation do not usually change after this time, but the swelling does settle down and a clearer picture will emerge at the end of one year. At that time, you may discuss your options with your Plastic surgeon. In the meanwhile please follow his/her advice with massage and other instructions. All the best!

Celal Alioglu, MD · Answer

Hello for now you do not need second surgery because it is too early to decide after 1 and half year you and your doctor can decide.

Eric M. Joseph, MD · Answer

Please consider re-asking your question with before and after photos. The curved appearance on front view may resolve with time, Your nasal profile appearance looks good.  The best advice it to wait for all of your healing to complete, and reassess. Operating on a nose with previously placed rib cartilage may be challenging, so please proceed with caution. Hope this helps. Dr Joseph

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

Good Morning! Thanks for the questions and great photos. I see what you're referring to. Rib grafting is excellent for creating projection and narrowness on the front view. This helps to "stretch" the thick skin creating more refinement. At 6 months, it's too early to consider a revision. I would wait toward 12 months before deciding. Swelling is still improving and things like taping nightly and steroids will help make improvements. If at that time you're unsatisfied, revisit with your surgeon (if you're comfortable) to discuss options. Hope this helps!

6 months post rhinoplasty. Will deviated septum and length change with time? Should I consider a revision (photos)

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