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1 month post rhinoplasty, tip too upturned and thick columella. Is this swelling and any hope for tip dropping more? (Photo)

melmel1122Jul 2, 2015
I had my rhinoplasty exactly 4 weeks ago and unhappy with the results. My bridge was narrowed and tip work was done, possibly a columella strut graft was used. My tip is still very upturned and very noticeable in my profile. I had a very piggy and upturned nose after cast removal but doctor said it would drop. Now my columella is also very thick and looks like it is attached to my tip and keeping it pushed up. Is this due to swelling or will I need revision? Would this revision be fairly simple?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Aug 24, 2021
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2 people found this helpful
Dr. Robert E. Zaworski, MD (retired)
Board Certified Plastic Surgeon
Answered on Aug 24, 2021
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Pedram Imani, FRACS, MS, MBBS (Hons)

I can understand your frustration.  How many Kenalog injections have you had?  From your pictures it seems like there is some steroid induced changes in your nasal skin, such as new blood vessels forming.  I think you should see your surgeon and discuss this issue.  Laser is...

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Thanks for the question. You should be able to go on vacation by 1-2 weeks after your surgery. But this is valid only with assuming postoperative recovery is uneventful. If any unexpected incident happens in your treatment process, this time can be extended or shortened. I wish you all the best.

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Mark Gaon, MD - Account Suspended

You are doing all that you can for now, and the graft is still in the maturation process 5 months later. You may want to talk to your surgeon about procedures such as dermabrasion and laser resurfacing a few months down the road to further refine the result and get better camouflage of the graft.

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