Pollybeak? Revision required? 8 weeks post op. (photos)

Question

I had my primary nosejob 8 weeks ago. My Dorsum was shaved, deviated septum straightened, tip was NOT refined. All in a closed surgery. When I got my cast taken off everything seemed fine. Nose was straight, no bump, every angle was great. After a few days my nose started deviating again and my supratip started getting very swollen. The enclosed photos are from 7-8 weeks post op. it has remained moreor less the same since week 1. Could it be polly beak deformity. Is revision required, what kind?

Andrew Miller, MD · Answer

It is still very early in the process and supratip swelling can still go down significantly. As for the crookedness, it can be very difficult to fix completely, but sometimes additional things need to be done to keep the nose straight. Be sure to discuss your concerns with your surgeon, but additional opinions can always be sought out. Typically you should wait closer to the six month mark, before even thinking about revisions.

Eric M. Joseph, MD · Answer

Your nasal profile appears pleasing, and the fullness above your tip may be swelling. Supratip swelling may be addressed with dilute triamcinolone acetonide injections (steroid). Your bridge appears a bit wide on front view, but that could be swelling as well. Consider brinfing up your concerns with your rhinoplasty surgeon. Wishing you well. Dr Joseph

Jonathan Kulbersh, MD · Answer

This is very common due to swelling and the impact of flying/cabin pressure. It can be frustrating to go through rhinoplastic surgery and still have a “big” nose, but it is not a permanent condition. You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and look beautiful in the end. If, one year from now, you are unhappy with your nose, then that is the time to think about a revision procedure. Right now, concentrate on other things you like to do and let your nose take its time to heal. I hope this helps.

Andre Aboolian, MD · Answer

Its too early to tell.  You have a lot of surgical swelling and you should give it at least another 6 months from the date of your surgery to get a better idea of your final result.  Speak to your surgeon and follow his/her recommendations.  Andre Aboolian, Plastic Surgeon, Beverly Hills California, andreaboolian.com

David A. Sieber, MD, FACS · Answer

Thanks for the question. You still have a significant amount of swelling which will linger for 6-12 months after surgery. Sometimes the swelling can by asymmetrical and cause the appearance of further dorsal deviation. This should all improve with more time. I recommend following up with your surgeon as they might be able to use a steroid injection or taping to help reduce some of the swelling. Best,~Dr. Sieber

Pollybeak? Revision required? 8 weeks post op. (photos)

Answers (9)

Answer: Too early to tell

Answer: Too early to tell

Answer: Post op swelling

Answer: Post op swelling

Recommended reading

Everything you need to know about Rhinoplasty

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

Pollybeak? Revision required? 8 weeks post op. (photos)

Answers (9)

Answer: Too early to tell

Answer: Too early to tell

Answer: Post op swelling

Answer: Post op swelling

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

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