Ball-like Nose Tip After Septoplasty

I had a nose job, a septoplasty, with my nose narrowed and the tip refined. While the nose appears to be smaller, the tip is ball-like, and from the side view, it juts out. Could this be because of the general swelling of the nose? How much smaller could the "ball" look once the swelling has gone down?

Doctor Answers 8

Nasal tip swelling can occur after septorhinoplasty

The tip may swell after surgery.  This should improve with time.  The Septoplasty does not contribute to tip swelling.

Toronto Facial Plastic Surgeon
4.7 out of 5 stars 11 reviews

Swelling After Surgery Is Normal

The septoplasty procedure does not change the shape of the nasal tip. If you had a separate procedure to refine the tip, it can be a year before swelling has resolved. If you are concerned with the appearance, I would definitely suggest speaking with your surgeon about your concerns.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
3.9 out of 5 stars 14 reviews

Swelling after rhinoplasty can last one year

Although internal airway swelling can and frequently does occur after septal surgery, external swelling is rare. However, it sounds like your operation involved surgery to the external nasal structures including the bone and tip cartilages. This situation is very different and swelling can last up to one year in the tip.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 22 reviews

Septorhinoplasty, septoplasty, and the nasal tip

It appears as though you had a septorhinoplasty procedure that included alterations to the nasal tip. This may be a result of under or over-resection of the nasal cartilage and nasal cartilage dorsum.  Swelling is noticeable early on, but generally subsides with time. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Ball like nose after septorhinoplasty

After a septorhinoplasty, the nose can have a significant process of healing. Alterations to be-and the base of the nose may be apparent immediately. However, the tip of the nose usually takes longer to heal. After a rhinoplasty, it is common to place a metal splint onto the bridge of the nose. This usually remains in place for one week. Once that is removed, the bridge of the nose may be compressed and the tip of the nose may be swollen. This may be in part what you're seeing. It is best returned to your rhinoplasty surgeon for an evaluation. They will be able to determine if what you are seeing is swelling that should resolve on its own or there's been a problem with the surgery.

Pat Pazmino, MD, FACS
Miami Plastic Surgeon
4.7 out of 5 stars 101 reviews

Swelling after Nasal Surgery

I agree with the remarks of Dr. Porter above. It takes time for the swelling to resolve after nasal surgery. It is common for this to take up to one year after after surgery. However, achieving a satisfactory appearance of the nasal tip is a key aspect of successful rhinoplasty and is also one of the most challenging components that requires skill on the part of the surgeon. Allow time to pass and hopefully the final appearance of your tip will be pleasing to you. If not, you may need to seek an experienced facial plastic surgeon with skill in rhinoplasty to address your concerns.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews

Tip swelling takes time to subside

Swelling of the nasal tip after rhinoplasty is to be expected. The extent of swelling is variable by patient and depends on the thickness of the skin and the amount of swelling that the patient experiences in the early postoperative period.

The "ball-like" nature of the tip may greatly improve within the first month after surgery, usually taking a full year to see the final result. The final result is a nose with increased tip definition. Patience is the name of the game in the early stages. Avoidance of salty foods and overheating will allow for the swelling to decrease more rapidly.

Jennifer Parker Porter, MD, FACS
Bethesda Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Nasal tip swelling

Unfortunately you did not state how long it has been since your rhinoplasty, septoplasty surgery.  It may take uyp to a year for the swelling to dissipate.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

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.