Do I seem to have an over-resected nasal bridge? Or is it just swelling? (Photo)

Question

I had rhinoplasty done 7 months ago. At first, I was very pleased with my profile, but with time, the swelling on my bridge went down, and I started noticing a supra-tip "fullness" which I am not fond of. Although I am pretty pleased with my results and love the overall look, this slight problem in my profile is the only thing bothering me. May this be a deformity due to an over-resected dorsum? Or may this just be swelling on my tip and supra-tip? Will my profile ever appear "straight?"

Matthew Bridges, MD, FACS · Answer

From the photos, it does appear to me that the dorsum has been lowered a bit too much.  This will cause the issues you describe. The nose will look "bottom heavy" on profile in this case.  The nose appears to start well below the lower lashes, instead of at the upper lid crease, which is ideal.  You may want to discuss this with your surgeon.

Ashlin Alexander, MD · Answer

I would concur with all the other respondents.  Your profile is too low, and rather scooped.  And your supratip is full.  Tip swelling is the last to go down, so maybe you'll appreciate a little bit of improvement in that overall profile, but I don't expect you will have a "straight" profile.  Revision rhinoplasty for dorsal augmentation will be your best bet, but do wait at least 12 months before embarking on that path as you want to make sure all the swelling has settled out completely.Good luck!Dr. Alexander

Stephen Prendiville, MD · Answer

I have to concur with Dr. Bridges on this issue.  The photos show a dorsum that appears somewhat over-resected, and evidence of moderate supratip fullness.  I would first discuss your results with your operating Surgeon and wait a minimum of 12 months prior to any revision consideration.  When the tip/ supratip swelling settles, you may be more pleased with your results.  Revision Rhinoplasty is more complicated than primary Rhinoplasty.  Make sure that the Surgeon you choose is board certified by the American Board of Facial Plastic and Reconstructive Surgery or the American Board of Plastic Surgery, and more importantly, make sure that he/she foocuses on Rhinoplasty in practice.

Toby Mayer, MD · Answer

Rhinoplasty revision for over resected dorsum is what u will need. Wait 1 year to see if goes down more before revision. See a very experienced Facial Plastic or Plastic surgeon for the best results.

Eugene Kim, MD · Answer

If you are not happy with the bridge of the nose, it can be augmented at a later time to improve the profile.  I prefer to use an autologous (using your own tissue) approach instead of implants.  It is unlikely that the profile is going to change at 7 months to give you a "straight" look but you may be better off waiting a full year before any revisions.  You should have a discussion with your plastic surgeon about a possible revision if you're unhappy with the results.

Do I seem to have an over-resected nasal bridge? Or is it just swelling? (Photo)

Answers (10)

Answer: Rhinoplasty revision for over resected dorsum.

Answer: Rhinoplasty revision for over resected dorsum.

Answer: Low Bridge

Answer: Low Bridge

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.

Do I seem to have an over-resected nasal bridge? Or is it just swelling? (Photo)

Answers (10)

Answer: Rhinoplasty revision for over resected dorsum.

Answer: Rhinoplasty revision for over resected dorsum.

Answer: Low Bridge

Answer: Low Bridge

Browse related questions

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.