Nose crooked 6 months after septo-rhinoplasty. Any suggestions?

Question

My nose seems quite crooked 6 months after i had my septo-rhinoplasty. However, on aligning the tip of my nose to the hard cartilage using my fingers, the nose appears in a straight line. Is it possible that the deviated nose from the original point of deviation is yet to align to the new straightened line of the hard structure internally. Is there a way to know at this point if it is going to correct any further? Can I tape it or do anything else to remove any swelling (if any at this stage)?

Ran Y. Rubinstein, MD · Answer

Unfortunately, if your nose is crooked at 6 months it will probably remain crooked when its finished healing at 12 months.  It sounds like the cartilaginous part of your nose is crooked, and not the bony bridge.   I would suspect that you may have a deviated septum that was not fully addressed that is pulling your nose to one side.  There is a saying.  "Where the septum goes, the nose goes".  A thorough exam will help determine if this is the cause or other causes.

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns about your Rhinoplasty with us.Congratulations for having patience and wait six months PO, which is the recommended time allowed to make judgments of value and be precise and accurate.After having analyzed all the info and photos provided to us, i recommend to perform a Secondary Rhinoplasty (not a tip revision) this means (basically) treat the nasal bones and the nasal cartilages.Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping.Respectfully,Dr. Emmanuel Mallol Cotes.-

Steven J. Pearlman, MD, FACS · Answer

The lower 2/3 of the nose is cartilage. Healing cartilage has unpredictable properties. If you nose is crooked 6 months following surgery, there is little that can be done right now. Taping does not work. You need to let the nose fully heal. Revision surgery is the best way to straighten the nose, but you will need to wait until a full year for complete healing.

Tanveer Janjua, MD · Answer

If your nose is still crooked at 6 months after rhinoplasty, then it will need either surgery or fillers to straighten it. RegardsDr.J

Steven Wallach, MD · Answer

If your nose is crooked at 6 months after surgery, then it is unlikely to improve. If unhappy a revision may be possible in about 6 months if the tissues are soft and pliable.

Nose crooked 6 months after septo-rhinoplasty. Any suggestions?

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