Nose tip too high after rhinoplasty (2 weeks). Will it drop down? (Photo)

Question

After the rhinoplasty I noticed that my nosetip is very high en that my nosestrills show too much giving me a snout. Will it drop down? I'm Scared that I Will keep looking like a pig. Pictures are 2 weeks after the operation

Benjamin Caughlin, MD, FACS · Answer

This is a good question. Rhinoplasty really is a procedure that takes time to set in. You are well within the normal healing range. I personally over rotate the tip intraoperatively because it invariably falls with time. I would meet with your surgeon to discuss but patience is your best friend at this point. 
Hope this helps.
  
Best of luck,
  
DrC

John Layke, DO, FACS · Answer

The answer to this question depends on who the surgeon was and which technique they employed.  In my practice, the nasal tip generally remains in the same position due to structural grafts and stitches that are placed.  Many other surgeons rely on the tip to drop by a few millimeters following the reduction of swelling.  Relay your concerns to your surgeon, and he or she can provide you with an appropriate timeline of events to expect certain results.

William Numa, MD, FACS · Answer

Two weeks after surgery is early in the healing process and there is still residual swelling at that point that will continue to drift down over the next several weeks. Give yourself time and always free free to call or schedule an office visit with your surgeon so he/she can walk you through the initial post-operative stages.

Remus Repta, MD · Answer

Early on after a rhinoplasty, the combination of the cartilage position and swelling can be artificially high and may come down with time.  It depends a lot on how the surgery is performed.  I prefer to have the rhinoplasty look the way it should right off the bat.  I like the control aspect of it.  I would touch base with your plastic surgeon but I suspect he/she will say that it is very early after your surgery and thing will change with time.All the best,Dr. Remus Repta

Sudeep Roy, MD · Answer

Thank you for sharing your question. Yes, I believe that the nose will probably drop some once completely healed. Two weeks is still very early, and I suspect that a more final result will be appreciated around the 6 week to 3 month mark, although it could take over a year in some cases. Hope that helped! Best, Dr. Roy.

Dominic Castellano, MD - Account Suspended · Answer

Hello,
The feature you are referring to is the rotation of your nose. You feel it is Over-rotated. I can appreciate your concern but you are only 2 weeks post op. Your nose will be healing over the next 6-12 months. I would recommend seeing your surgeon and noting your concerns. I know it will be hard to "give it time" but that is what I would recommend. I hope it works out.
Take care, 
Dr. Dominic

Brooke R. Seckel, MD, FACS (retired) · Answer

Congratulations on your rhinoplasty.  Yes your nasal-tip will drop to a nice projection over the next 6-8 weeks.  It is very very very important that the tip of the placed high immediately after rhinoplasty surgery because the nasal-tip Always drops and you do not want it to drop too low.I predict you will have a very nice result.

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