Rhinoplasty - Columellar Strut Too Long. It Pushes my Lip Forward. Will It Go Back?

Question

I had a rib graft rhinoplasty (dorsum and strut) about 7 weeks ago and I am really not happy about how my lip looks (the upper portion of the lip). The lip is very projected and the tip is upturned. Is it the swelling or should I get a revision? Thank you

Eric M. Joseph, MD · Answer

I read your concern and reviewed the limited nasal profile photo you posted. The swelling at your nasal base could be temporary swelling related to cartilage grafting performed during your rhinoplasty surgery. The base of your nose may remain firm and swollen for many months after your surgery. You should discuss your concerns with your surgeon for reassurance.

	I hope this is helpful for you.

	Regards from NJ.

Sam Naficy, MD, FACS · Answer

Seven weeks post surgery is still very early for you to judge the results of your surgery - be patient and follow up with your surgeon - stiff rib grafts will often loosen over time

Howard Webster, MBBS (Hons), FRACS · Answer

This is definitely swelling. If you look at the lip volume pre and post, the difference is evident. A swollen lip feels slightly numb and stiff. You just need to be patient. And, the tip projection post graft looks good at this stage.

Toby Mayer, MD · Answer

Rhinoplasty results take 1 year. It is too soon to say what is going on. Wait 6 months and get an opinion from your surgeon. If not satisfied get a second opinion.

Michael L. Schwartz, MD · Answer

Rib grafts are typically needed only in major revisions or previously traumatized noses with a lot of loss of structure. If either of these is your situation then you are going to have swelling for a long time. Be patient and stay with the program. Don't rush to have another revision.

Rhinoplasty - Columellar Strut Too Long. It Pushes my Lip Forward. Will It Go Back?

Answers (7)

Answer: Rhinoplasty results take 1 year.

Answer: Rhinoplasty results take 1 year.

Answer: Rib graft

Answer: Rib graft

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.

Rhinoplasty - Columellar Strut Too Long. It Pushes my Lip Forward. Will It Go Back?

Answers (7)

Answer: Rhinoplasty results take 1 year.

Answer: Rhinoplasty results take 1 year.

Answer: Rib graft

Answer: Rib graft

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.