Not happy with my rhinoplasty results 2 years post op. What needs to be done? (Photos)

Question

I had rasping done on one side of my bridge because there was a bump leftover. On the same side where I had rasping, my tip seems to still be bulbous. I'm going to see my surgeon in a few months but I'm unsure if this is fixable due to my thick skin and I can't really afford another surgery. Is there any hope at all?

Nima Shemirani, MD · Answer

Hi @Honest803329! I recommend seeing a revision rhinoplasty specialist for in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima!

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a wide tip appearance with a Droopy tip as well. In order to provide nasal narrowing, tip narrowing, and tip elevation, revision rhinoplasty would be necessary. If you have any degree of uncertainty about moving forward with your previous surgeon, please get a copy of your operative report and consult with another rhinoplasty specialist. Sincerely, Dr Joseph

Jeffrey Lisiecki, MD · Answer

How long ago was the rasping? If over a year, it is unlikely you'll see much change in your nose at this point, and revision rhinoplasty would be the thing to further refine your tip.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.I have evaluated your case regarding the information you provided and your photos.It looks like your tip has dropped, that is what gives a bulbous shape to your tip.Your nose looks good, I can recommend you a revision rhinoplasty only if the tip really disturbs you. So it would be more for aesthetical purpose.
Have a good day!

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Sorry that you're experiencing trouble with your outcome. Steroid injections and taping may prove to be helpful if not trialed already. These both help to reduce swelling and aid with crafting the final outcome of the nose. If considering a revision, I would wait at least 12 months to ensure all changes with your nose have occurred. I would not lose hope as there is still time and working with your initial surgeon is a great starting point. Hope this helps!

William Portuese, MD · Answer

A revision rhinoplasty can accomplished lifting your nasal tip, narrowing the bridge line and dependent upon how thick your skin is, you may get some improvement in the nasal tip. It's also important to release the depressor septi ligament which dynamically pulls your tip downward  when smiling. When you check in with your operative surgeon, ask about steroid shots to reduce the thickness and swelling in your nasal tip.

Not happy with my rhinoplasty results 2 years post op. What needs to be done? (Photos)

Answers (6)

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