Can a Nose Still Refine 1 Year Post Revision Rhinoplasty?

Depending on the nature of your surgery, it may take longer than one year to see the final result, and improvement is still possible. I have seen some cases where it takes longer. With a revision that involves tip work, the amount of time it takes to see the final outcome is influenced by the following:

1) The extent of the tip work, and how many revisions you have had in the past
2) The thickness of your skin

For now, I would wait before considering another revision. 5-Flourouracil mixed with kenalog is a powerful way to help reduce swelling, and soften and potentially reduce the amount of scar tissue present after a  revision rhinoplasty.  I have also seen some patients that are diagnosed with scar tissue actually have think sebaceous skin.  In these cases, a light dose of Accutane, a medication that reduces the thickness of sebaceous skin, may help define your nose.   I would recommend speaking with your surgeon about this option.  If he is not receptive, I would recommend seeking a second opinion with a qualified surgeon. Thanks and I hope this helps!

One year is the general timeframe during which a recovering nose
continues to take shape as swelling subsides. After this period, it is not
likely that you will see drastic changes or experience any more noticeable refinement. Your surgeon
will be following your recovery closely, especially at the beginning stages of
your healing process. Because he or she knows your condition best, your surgeon
would be the best person to consult about whether it is possible that your nose
is still healing. Still, I must reiterate that you should be realistic about
what further changes you are expecting to see, as a nose is typically either
fully healed or very close to being fully healed after the initial year of
recovery. I recommend scheduling a follow-up visit with your surgeon to address
this concern in person and to discuss your options accordingly.

Even though most people can see final results from a rhinoplasty by one year post op, for patients with thick skin, it is very common for it to take as long as two years before final results can be seen. Continue to be patient during this time.