Supratip fullness 10 months PO (soft)

Question

Hello, I had a secondary rhinoplasty 10 months ago to correct a remaining cartilaginous bump. Although my nose is flatter now, I still have a “fullness” in the supratip area (it's soft and resolves when I squeeze it) and the skin doesn't seem to have fully wrapped around the structure. I've also noticed that my nose tends to hang down towards the floor when I lie on my side. Do you think it will improve over time or can it stay permanently?

Bianca Knoll, MD · Answer

thank you for posting your question. It is not uncommon after any rhinoplasty, revision or primary, to experience swelling, and fullness of the nasal tip. The supratip break, that was created during surgery, can efface until swelling has subsided and healing is completed. In some cases it can take longer than the usual rule of thumb of 12 months. The fact  that the fullness subsides to your pressure is promising. Your healing process from your revision rhinoplasty is not completed yet. If there would be no changes or differences of the nasal supratip break notable, the fullness would be more likely  to be permanent. Revision rhinoplasties can be quiet complex, and require some time to heal. I hope this helped.

Eric M. Joseph, MD · Answer

When there is persistent soft swelling in the super tip area, this is the most favorable place for a steroid injection to reduce swelling, and to improve somebody's nasal appearance, even at 10 months postoperatively, I hope this is helpful. And thanks for this question. Sincerely, Dr. Joseph

Ronald J. Edelson, MD · Answer

You might ask your surgeon for a reroof injection. Also taping the nose at night should help. This is very common

Zoran Potparic, MD · Answer

Some patients have prolonged swelling of the nose longer than a year after rhinoplasty; this in particular typical for tip/supratip area. This may result in supratip fullness that  affects tip projection. Corticosteroid injections are helpful but need to be limited to avoid side effects. Over-night taping with a paper tape may be good approach to control and resolve this problem. Good luck.

Supratip fullness 10 months PO (soft)

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