Post Rhinoplasty: Nose Sits Too High on Face

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

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
 

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.

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.

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