Is it possible to have supratip swelling one year after a revision rhinoplasty?

Question

I had a revision to widen the tip and bring it inward a tiny bit. It looks too flat now and the supratip sticks out making an ugly shape. It doesnt look sloped with a supratip break like I wanted. After the first three months it looked more sloped but after 7 months it started looking very flat and seems like the supratip has gotten more swollen. It has now been a year and it has not gotten better. Is this swelling or the final result?

P. Daniel Ward, MD · Answer

Thanks for the question. Swelling after rhinoplasty is common and lasts 12 to 18 months. This far out from surgery, I would be a little bit more concerned that the issues that you’re seeing might be permanent. I strongly advise you to talk to your surgeon to find out what options are available.

Alejandro Nogueira, MD · Answer

Achieving custom designed supratip break requires one or more of the following technical maneuvers:-columellar strut grafting-tip grafting-dorsal work according to the formerSee the link below to find one case of my own practice very similar to your goal which I had the opportunity to operate successfully on, sharing a lot of common features with the technical problem you have posted; it was managed with a very carefully tailored shield tip grafting.
If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also underneath the nostrils.
Feel free to request any additional information from me.

Umang Mehta, MD · Answer

Hi and thanks for the question. An in-person exam would be needed to determine if the fullness in your supratip is related to swelling, scar tissue, or cartilage. It’s possible that over a few months, the tip of your nose deprojected more than desired, in which case the tip can lose definition and the bridge can lose the curve/supratip break. Definitely bring up your concerns with your surgeon and ask her or him if a steroid injection would help. You could consult with a couple of revision rhinoplasty specialists as well. Filler (nonsurgical rhinoplasty) may also be an option. Kind regards,Dr. Mehta

Thomas Romo, III, MD · Answer

The area just above the nasal tip is refered to as the supra tip region of the nose. In the post op male nose, it may be rather full ie. Straight. In the post op female nose, we usually want a gentle concavity, not a deep divit. If this area is full after surgery, if it's soft then it may be only scar tissue and reduced with a steroid injection. If it's hard, then it my be cartilage grafting material and this may require surgical removal. Ask your surgeon.

Is it possible to have supratip swelling one year after a revision rhinoplasty?

Answers (4)

Answer: Supra tip swelling

Answer: Supra tip swelling

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Is it possible to have supratip swelling one year after a revision rhinoplasty?

Answers (4)

Answer: Supra tip swelling

Answer: Supra tip swelling

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Everything you need to know about Revision Rhinoplasty

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