Post Rhinoplasty: Nose Sits Too High on Face

Question

I had open rhinoplasty two weeks ago. Bump was removed and the tip was narrowed and tilted. Now my nose sets too high from my face . Too much space between my my nose and mouth. Is it fixable. I am really bothered by it.

Sam Naficy, MD, FACS · Answer

Some of what you are bothered by at this point will improve over time - 2 weeks is obviously very early in the course

Peter E. Johnson, MD · Answer

Though the nose has not moved any higher, rotation of the tip will show more of the upper lip and reduce the shadow on the upper lip with overhead lighting. Normally the angle between the lip and nose should be slightly open, 95 to 110 degrees. Early swelling can push the tip upward as this is the 'mobile' part of the nose, and the tip often will settle over several weeks. If the tip is terribly over-rotated early revision can adjust things, though if the balance is not too bad it can pay to wait six months, and revise later if needed. Your before pictures and computer simulations can also help give perspective as to where you are at this point in healing.
	Best of luck,
	peterejohnsonmd

Mohsen Tavoussi, MD, DO · Answer

Swelling under your upper lip close to the surgical site is pushing the nose out at this stage. This will improve with time. Your nose will look different in another 2-4 weeks and there after.

Kamran Khoobehi, MD · Answer

You just had surgery and have a lot of swelling. Please discuss your concerns with your surgeon. You need to let the swelling to resolve before discussing revision.

Michel Siegel, MD · Answer

Dear kako:

	You still have a lot of swelling 2 wks after your surgery, this will affect the position of the tip, in your case it is over-rotated. If this is the final position, or a temporary position due to the swelling is hard to tell without knowing what was done. If it is swelling related, then it should come down as the swelling decreases, if not you may need another procedure to fix this.

	It may take at least 6 months for the tip position to settle. You may want to take pictures monthly and asses any changes.

	 

	Michel Siegel, MD

Post Rhinoplasty: Nose Sits Too High on Face

Answers (8)

Answer: Too early and rhinoplasty will not reduce the upper lip to nose length.

Answer: Too early and rhinoplasty will not reduce the upper lip to nose length.

Answer: Post Rhinoplasty: Nose Sits Too High on Face

Answer: Post Rhinoplasty: Nose Sits Too High on Face

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Everything you need to know about Rhinoplasty

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Post Rhinoplasty: Nose Sits Too High on Face

Answers (8)

Answer: Too early and rhinoplasty will not reduce the upper lip to nose length.

Answer: Too early and rhinoplasty will not reduce the upper lip to nose length.

Answer: Post Rhinoplasty: Nose Sits Too High on Face

Answer: Post Rhinoplasty: Nose Sits Too High on Face

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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.