Fixing Nasal Tip Without Surgery?

I had a rhinoplasty 11 months ago, i did have some bump left so my surgeon revisioned it, but then after months of waiting my nasal tip seems shifted to the side.

My surgeon keeps tellin me its the swelling going down, but its been almost a year and i dont know if theres a way to fix that without doing an open procedure again.

Doctor Answers 9

Revision rhinoplasty for the nasal tip

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Unfortunately, this is impossible to tell without a personal examination (even photos don't tell the whole story). However, after a revision, the tip may change slighlty for 12-18 months. It is unlikely, however, that after 12 months an apparent asymmetry will resolve. Revision surgery may be able to correct this for you.

Hope this helps,
Dr. Sam Most

Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

May take up to 2 years to see full results

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It is difficult to advise this issue without an evaluation, but I can tell you that it may take up to two years for the swelling to reside for an open rhinoplasty, so I would suggest waiting a bit longer before making any conclusions.  

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Improving nasal tip with a rhinoplasty nose surgery procedure

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Careful repositioning of the nasal tip cartilage, especially if you are unhappy after a previous procedure, is best done with an open rhinoplasty.  Lesser treatments will not work.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Fixing a nasal tip with a revision rhinoplasty

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Today, there are many techniques that surgeons can use to correct a rhinoplasty result. Unfortunately, there are no reliable, consistent, and safe techniques to permanently fix the nasal tip without surgery. Instead of injecting different medications into this delicate area, you may best be served by receiving a focused revision rhinoplasty procedure by an experienced surgeon.

Tip Revision Rhinoplasty For Asymmetry

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After nearly one year of healing, it is unlikely that your tip is going to evolve much more from the current shape. It would be real important to review the operative notes from the original surgery to determine exactly what was done with the nasal tip. This would also give insight into what could be done to fix the asymmetry.

Without photos and a physical examination it would be hard to tell if an open or closed rhinoplasty approach is indicated. In my experience, there are few asymmetric deformities of the tip of the nose that are amenable to a closed revision rhinoplasty. In many cases, it is best to perform an open revision rhinoplasty to achieve the symmetry desired. This largely has to do with the need for structural grafting to recreate a more symmetric tip.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

Nasal Tip Revision

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If it has been 11 months since your revision the asymmetry may not resolve enough to satisfy  you and your surgeon. Surgical correction may not be as complicated as you fear. If it has not been a year since your last surgery, be patient.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

How long since the revision?

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If the revision was 11 months ago, then it is indeed unlikely that swelling is the cause of the deviation. If the revision was less than that, even if it's not going to get straighter it still needs time for the wound to mature before anything else is done to the nose.

Correcting an asymmetrical nose, particularly one that has had two procedures already, is a difficult task. Usually reopening the nose would be required. If the asymmetry is due to very minor shifts of cartilage, there are some minor in-office techniques (e.g., needle shave) that may be applicable. And fillers are a straightforward, albeit temporary solution, too.

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Crooked nose revision

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Dr, Buckingham brings up an excellent point. You may need to assess the progress you have made with the previous procedures and balance the risk of any additional procedures with the potential benefits you may achieve.

Straighetening a crooked nose is often times like straightening out a crooked wire. Often times this is accomplished by a bend in the other direction rather than truly straightening the wire..

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Crooked nasal tip

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It is getting less and less likely that swelling is causing the deviation in your nasal tip. You can potentially add a small amount of filler like Restylane or Juvederm to even out the appearance, but it will need to be repeated every 9-12 months. o/w you would need revision surgery. Be careful though. Look at where you have come and appreciate the improvement rather than focusing on the minutia.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.