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

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.

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.

 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.

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.

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.

Rather than a sharp point, you still have some residual swelling, perhaps slight excess tissue of the pre-tip area.  Do NOT use steroids.  Since you are 3 months post-op, try night taping with some pressure on the area just above the tip.  It might have been helpful to do this sooner, but try this for several months.  If, after 9 to 12 months, you are still not happy, a very small amount of tissue excision could be performed in this area.

I always tell my patients that healing can take up to one year to resolve. Additionally, the nasal tip is a known region to be susceptible to persistent swelling. You are still relatively early in the healing process and will continue to see minor refinements to the nose as the swelling resolves. Make sure that you follow up with your rhinoplasty surgeon throughout this process so that they can address any concerns that you might have. Best of luck.

Dear 22si,  I do see your concerns and revision rhinoplasty may be needed to correct the polly beak deformity and columella. You are still early in the recovery phase and I would suggest waiting a full year for all of your swelling to completely dissipate and then discuss revision rhinoplasty. Best regards, Michael V. Elam, M.D.