11 Months Post-op-Septorhinoplasty; Nose is So Hard It is Difficult to Kiss?

Hi! Primary surgery last March. Dr. put in some type of tip grafts w/septal cartilage. My nose has not softened and does not budge at all; really leads to some awkward kissing. It's uncomfortable and not at all enjoyable like kisses should be. My nose hurts afterward! I am having revision rhinoplasty this June to correct multiple issues, including overly-shortened upturned nose. Can anything be done at this time to return my nose to a softer state? Seems silly, but it really does matter to me.

Doctor Answers 5

Bothered by a rigid nasal tip

While this is not a commonly-expressed concern following rhinoplasty, many structural techniques used to support the nasal tip can increase the tip's rigidity.  Since you are having a revision rhinoplasty done for other reasons, I would recommend discussing your concerns and desire for a more flexible nasal tip with your surgeon so that this is taken into account with the surgical planning.

Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 21 reviews

Stiff Nasal Tip after Rhinoplasty

It is unusual to have such a stiff nasal tip one year after surgery. Be aware that with further rhinoplasty surgery, especially to improve a short upturned nose that the nasal tip is not likely to become softer as this surgery adds more structural support to the tip of the nose.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Tip is hard

Discuss this with your upcoming revision surgeon. Only in a small number of patients is it necessary to use such firm grafts and rigid fixation of the tip that it doesn't become more pliable after a year.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Hardened Tip and Revision Rhinoplasty

   If the tip grafts are causing the issue they can be removed.  If a columellar strut was used and is causing the issue this can be removed or altered.   There are always multiple ways to address a similar issue.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Post Septorhinoplasty Recovery


Dear Realgirl00,

I would discuss your concerns with your surgeon who will be doing your revision rhinoplasty in June. Upon a direct examination he/she will be able to provide you with your surgical options. Best regards and hopefully come July you will be smooching pain free! Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 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.