Nose still has downward slope after rhinoplasty? (photos)

Question

The first picture is my nose before, and the second is my nose today 3 months post op. It is a huge improvement to the bump I had before but there is still an obvious downward slope that I'm not satisfied with. Could it be swelling or a callous? Or could this be the final result? And would an additional rasping fix this and make it straighter or more concave? I'm meeting with my surgeon in a few weeks but I'm anxious and want some opinions!

David Gilpin, MD · Answer

Thank you for your question.  Congratulations on your rhinoplasty procedure, and I am sorry you are having some concerns afterwards. Based on the photographs you have provided, it appears that you are healing well after surgery.  At 3 months post-operatively, you will still have quite a bit of swelling that needs to resolve.  I would continue to give this time, and most likely this residual dorsal sloping should get resolve.  I would discuss you concerns with your surgeon, as well, as only he/she knows exactly what happened during your surgery.  I hope that this helps!-David Gilpin

Steven Wallach, MD · Answer

Although this is not a true lateral photo, your nose looks markedly improved and will likely only get better with time.  It is still early.

David L. Cangello, MD, FACS · Answer

Hello and thank you for your question. The two possibilities for why your nose still has a slight downward slope are: you are still experiencing postoperative swelling (which is entirely possible given that you are only 3 months postoperative) or the dorsum was slightly under resected. There is no way to know with an online evaluation only. I would try to be patient and know that your results will continue to improve over the next several months. And I would follow closely with your surgeon as he/she will best be able to answer your questions. Best of luck.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question. It is rather difficult to fully evaluate your situation without an in-person exam.  However, you are not likely to observe the final results of your procedure at 3 months post-op.  Most likely your nose seems uneven as a result of post-operative swelling, which is not uncommon and may take 6 to 12 months to completely resolve. Considering that you had your rhinoplasty done fairly recently, I'd recommend giving it time to 'settle' before you consider revision.  
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and obtain expert medical advice. Best of luck!

Nose still has downward slope after rhinoplasty? (photos)

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Nose still has downward slope after rhinoplasty? (photos)

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Answer: Nose still has downward slope after rhinoplasty?

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