Hard, protruding, asymmetrical tip 4 months post op (Photo)

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. Based on the attached photos, if they are Post-op photos still you have residual nasal hump and droopy tip not fixed.

Based on your before and after photos, I suspect that your tip is not going to elevate spontaneously after your surgery. I also agree that your tip was not rotated enough. Digital photographs do not substitute an examination, however, I believe you may require a tip plasty to have your nasal tip reconstructed and lifted for less distracting and more feminine nasal appearance. Consider retrieving a copy of your operative report and getting a second opinion from another reputable rhinoplasty specialist. I wish I had better news. Good luck moving forward, and good luck finding the right specialist. Sincerely, Dr Joseph

I hate to say this, but it looks like you had a poor rhinoplasty. The bump was removed from the bridge, but nothing effective was done to change the position of your tip. I see this appearance too frequently in my revision practice. In typical rhinoplasty training, surgeons are taught a couple of techniques to elevate the tip that don't work -- turns out, elevating a tip can be a complex maneuver.

This is not swelling, but you can still have a great nose. You need a revision, where attention is paid to a significant and effective elevation -- and also narrowing -- of your tip. You need to be very careful in selecting a surgeon; as I intimated above, most surgeons would not be able to accomplish what you need, and a second failed operation would be very bad for your nose.

How *much* to elevate the tip, or narrow the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

My two cents.