Shorter but Bigger Nose After Rhinoplasty

I sustained a nose injury and met with a surgeon to to have Rhinoplasty. I had photos of this famous model whose features were close to mine except her nose. Anyhow, I wanted her nose. I wanted a smaller, well-defined nose. During surgery, cartilage from my ear was put in my nose. Seven months later, my nose appears larger with no definition. It's shorter but bigger. Could it be due to too much cartilage, and it failed to shrink as predicted? Does cartilage in the nose shrink over time, and if yes, what is the percentage of shrinkage?

Doctor Answers 3

Take a step back...

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First off I hope your surgeon told you that "you cannot have someone else's nose no matter how much they may resemble you."

Your nose is your nose. Your skin and cartilage and bone is unique. To expect to have a famous model's nose or even your sister or cousin or mom or dad or best friend's nose is not realistic. That is why computer imaging is SO crucial so your surgeon can show you what YOUR nose will look like on your face. It may be even prettier than the famous model's nose but its your nose.

taking down humps, spreader grafts, and onlay grafts will all make a nose look wider. Shortening a nose itself will change the proportions and make a nose look wider. With all of these techniques, other maneuvers should be made to counteract the moves that make your nose wider.

With that said, 7 months is still early. Cartilage can shrink down up to 3-5 years later. But without seeing you and examining you and reading the operative note to see what your surgeon did, its impossible to say just HOW much narrower it will get with time. But it should get narrower and more refined.

Other factors also play a part like the skin thickness, etc...

Talk to your surgeon...

Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 reviews

Many factors can be contributing to the nasal shape

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It would be difficult to provide a helpful answer without photographs, but generally, it sounds like youare not happy with the width of you nose as well as the amount of tip projection.

Cartilage does shrink a bit over time but I doubt it is the main reason for the mismatch here (between your expectations and the results).

Reza Nabavian, MD
Santa Monica Plastic Surgeon

Shorter, Bigger Nose

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I would wait another 4-5 months before evaluating the nose. You will never duplicate the nose of another individual. The cartilage will not shrink over time, but the swelling will. If you are not ultimately satisfied, talk to your surgeon and get a second opinion from a revision rhinoplasty specialist.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 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.