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

Question

I had a rhinoplasty done 4.5 months ago and my main concern was correcting my large dorsal hump, which now looks great. However since day 1, I felt like the tip of my nose was not lifted appropriately and appeared "droopy", which has only worsened with time. There is now a visible lump under the tip of my nose that is larger on one side. My front and side profiles now look awful because of it. I am very active so maybe increased swelling but doesn't feel like it. Will this go away

Oakley Smith, MD, FRCSC · Answer

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.

Eric M. Joseph, MD · Answer

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

Steven M. Denenberg, MD · Answer

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.

Ronald J. Edelson, MD · Answer

The bridge of your nose was not adequately lowered in the area of the tip. Also your tip can be raised through some very simple techniques

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

Answers (4)

Answer: Rhinoplasty

Answer: Rhinoplasty

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Everything you need to know about Rhinoplasty

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

Answers (4)

Answer: Rhinoplasty

Answer: 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.