Post Rhinoplasty: Nose Sits Too High on Face

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.

Doctor Answers 8

Tip rotation after Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

 I think that the tip rotation after the hump was removed seems odd and extreme to you now but IMHO, from the photo the tip is rotated at ~ 110 degrees which is the proper aesthetic angle for the nose.  It looks good so give it a little time to get used to it.  It's likely to fall a few degrees in the next 4-6 months as you heal from your Rhinoplasty.

Post Rhinoplasty: Nose Sits Too High on Face

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Length of Upper Lip after Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thank you for submitting a picture, but I will not comment on your result because you're only 2 weeks post-op. Your appearance will change dramatically over the next several weeks. With most inquiries re short-term results, the appearance does change and revisions are possible if the patient is not ultimately stisfied.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Early results on tip and upper lip

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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

Tip rotation in rhinoplasty will show the upper lip

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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,


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

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Nose sits too high on the face

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Hi Kako,

Since your only 2 weeks post -op you probably have allot of swelling. However, if your nose had that height before surgery then you may have further reduction of your bridge in future.


Dr. S.

Post Rhinoplasty: Nose Sits Too High on Face

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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 

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.