There is a sharp point at nose tip after Rhinoplasty. Any suggestions? (photos)

Question

I am 3 months post op from open rhinoplasty where i had nasal tip refined and dorsal hump removed. Looking at my profile there is a sharp point at the tip. Also my nostrils are retracted and columella appears low. Will the point and other two issues resolve over time or not? I had a steroid shot a month ago for the swelling.

Ronald J. Edelson, MD · Answer

There are two thing I would correct with your nose which are pretty simple to correct. Your bridge was not lowered enough at and above the tip, therefore your tip doesn’t have good definition and sticks out too far. Also you have a hanging columella which can also be corrected by removal of excess cartilage from the lower end of the septum. Common problems I see after rhinoplasty each straightforward to correct.

David Tauber, MD · Answer

During a rhinoplasty, the skin and soft tissues are often
completely separated from the underlying bone and cartilage framework. The
framework is modified and the skin is laid back down. After a rhinoplasty the nose swells from the trauma of surgery
and the tissues become edematous. This makes the normally pliable skin firm and
causes the nose to take on a “weird” appearance in the first few weeks after
surgery. The nose continues to settle over the next few months as the edema
finally escapes and the soft tissues adapt to their new underlying framework.
It will take 6 months to a year to see a final result. Close follow-up with the
surgeon is essential. Assuming there is no infection, patients should allow at
least 6 months for the swelling to resolve and the tissues to soften before
contemplating any changes. At that point, a detailed exam and discussion will
help delineate the best treatment option.

Toby Mayer, MD · Answer

Your nose has the appearance of polybeak with a hanging columella. It is too soon however to say whether revision will be necessary to correct this.  Wait another five months and if this has not greatly improved see a revision rhinoplasty specialist. There are several causes for this based on my 35 year experience. It could be the cartilage left too high or The tip left too low along with the hanging columella. i would not do any more steroid injections.

Alejandro Nogueira, MD · Answer

in rhinoplasties, can be absolutely destructive... and solve nothing except in very exceptional cases and highly dilluted.You have a supratip deformity (also called polly beak deformity, but I don't like this offensive term) caused by insufficient shaving of the cartilaginous dorsum and septum, and probably because you needed a tip graft because your ethnic roots.You need revision surgery applying the both previously mentioned gestures.

Ross A. Clevens, MD, FACS · Answer

Generally speaking, it can take 6 to 12 months to completely heal after surgery. Please keep in touch with your surgeon or his/her clinical team to discuss your ongoing concerns.

There is a sharp point at nose tip after Rhinoplasty. Any suggestions? (photos)

Answers (8)

Answer: Never steroid injections

Answer: Never steroid injections

Answer: Healing after Rhinoplasty

Answer: Healing after Rhinoplasty

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Everything you need to know about Rhinoplasty

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There is a sharp point at nose tip after Rhinoplasty. Any suggestions? (photos)

Answers (8)

Answer: Never steroid injections

Answer: Never steroid injections

Answer: Healing after Rhinoplasty

Answer: Healing after Rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.