Recovery Process for Pinched Nose Graft?

I need revision rhinoplasty for a pinched nose. I know its a closed procedure with grafting. How is the recovery process compared to regular open rhinoplasty? Will there be bruising and swelling of the face? Or is it a less impact procedure than an open rhinoplasty with bone reshaping?

Doctor Answers 8

Revision rhinoplasty recovery for a pinched tip

Revision rhinoplasty is often best done via external approach--especially for nasal tip issues. The recovery for this procedure is longer than a primary (first-time) rhinoplasty, mostly because of the scarring/prior surgery than whether or not you do it endonasally ("closed") or externally ("open"). Bruising and swelling of the face varies from patient to patient, but is less often seen in tip work than in bony work.

Hope this helps.

Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 62 reviews

Recovery for Closed Rhinoplasty Revision

If your surgeon plans on doing a closed approach to rebuild your pinched nasal tip, you should not have any real bruising around the nose or eyes. You will probably have a mild amount of swelling around the tip region. Overall, I think the recovery from a closed revision rhinoplasty is significantly less when compared with open techniques. Cartilage grafting sounds like it is indicated in your case, which can increase your recovery since the cartilage needs to be taken from your septum or ear or both. But this should still make for a much smoother recovery when compared with an open rhinoplasty approach. Good luck.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

Pinched nasal tip and revision rhinoplasty or nose job

Revision rhinoplasty for a pinched nose requires meticulous cartilage dissection.  Recovery is relatively quick but depends on whether or not you will need a cartilage graft from the ears. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Recovery process after a revision rhinoplasty

There is a wide variety in revision rhinoplasty surgeries. If you only need to address the nasal tip, this may be done in an outpatient setting with a quick recovery time of a few days. You should anticipate to have some swelling and my bruising during this period. After the first two weeks, the majority of your swelling will have gone down. You will see your final rhinoplasty results in 5 to 6 months.

Pat Pazmino, MD, FACS
Miami Plastic Surgeon
4.7 out of 5 stars 101 reviews

Depends on severity of pinching

The more pinched your nose is the larger and the stronger are the grafts that will be needed to fix it.  You nose will feel stiffer from the grafts for a few months.  Bruising is not common.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Revision rhinoplasty for a pinched tip

A revision rhinoplasty to correct a pinched tip will likely involve cartilage grafting with an open approach. There may be some surgeons that would use a closed approach, but this doesn't allow the same opportunities that an open approach does. Recovery and swelling will likely be longer after any revision rhinoplasty procedure. However, the fact that the revision will be limited to your tip and not involve your nasal bones will lessen the impact of your recovery.

Douglas J. Mackenzie, MD
Santa Barbara Plastic Surgeon
4.8 out of 5 stars 28 reviews

Revision Rhinoplasty

Recovery from revision rhinoplasty usually takes longer than the first surgery -- especially for the amount of swelling and the length of time that swelling persists.

Revision rhinoplasty, particularly for a pinched tip, is best performed via the open approach. This allows the surgeon to better visualize and correct the deformity. There are certain circumstances when a closed approach is appropriate and in which excellent results can be acheived. The decision for which is the right approach depends on the surgeon's preference, skill level, and the patient's nasal characteristics

Any patient who requires revision rhinoplasty should visit with two or more rhinoplasty surgeons who specialize in revision rhinoplasty.

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
4.7 out of 5 stars 145 reviews


A rhinoplasty for a pinched tip it best treated open to get excellent exposure and more precise alignment and placement of the cartilage. Yes, an open will leave you with more swelling for a longer period of time but it is worth it.  Both open or closed will leave you bruised.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.