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Post-rhinoplasty radix looks prominent / not blending — 13 months post op. Do I need a revision? (Photos)

spark1888Dec 14, 2025
I’m ~13 months post-op from a primary rhinoplasty. Overall healing has been stable, but I’m still bothered by the radix area. It looks high and doesn’t blend smoothly into my glabella, especially in certain lighting. I’ve already tried a Kenalog injection with minimal change. I’m trying to understand whether this looks like residual fibrosis/scar tissue, muscle tension (procerus), or possible excess graft? I had a diced cartilage with fascia rhinoplasty. This is my primary rhinoplasty. Do I need a revision?

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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Dec 16, 2025
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photograph, you may benefit from a rhinoplasty. A surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. The mid vault asymmetry of...

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Hello and thank you for your question. First off, it's important to recognize that complications happen to ALL surgeons, and any surgeon that does not have complications or any suboptimal results is either not operating enough or is lying. With that said, although an exam in person is ideal,...

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Hello and thank you for your question. First off, it's important to recognize that complications happen to ALL surgeons, and any surgeon that does not have complications or any suboptimal results is either not operating enough or is lying. With that said, without an exam in person or any...

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Thomas Trevisani, MD

In person exam is essential . Only you can determine if or not you want another nasal surgery. One side of the nose will never match the other , however further refinements can be achieved with additional revision and possible cartilage grafting- through a closed technique . I suggest that you...

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Mark K. Markarian, MD, MSPH, FACS

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you have a very subtle bump along the midvault (or middle third) of your nose. Oftentimes, a residual bump is seen higher up along the boney portion of your nose, the top...

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Hello and thank you for your question. I will try to answer your question in the best possible fashion without photographs and an exam in person. Nasal support, and especially tip support, in rhinoplasty is a key component in optimizing long-term results. Always remember, cartilage grows...

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