Did I Ruin my Rhinoplasty Results?

Question

I had a revision rhinoplasty 4 and a half weeks ago o just over a month. it was mainly to fix a bulbous assymetrical tip and an inverted v deformity. the bridge was not altered. what i am concerned about is that yesterday i went to get a facial and i didnt mention to the asthecian that she shouldnt apply much pressure to my nose and she sort of bent my nose tip to the side using medium pressure (both sides) and that is when i remembered to tell her!it was not painful.can that damage my tip?

Stephen Weber MD, FACS · Answer

It's highly unlikely that your esthetician damaged your rhinoplasty result with a facial. I would recommend returning to your plastic surgeon if you're concerned. At 1 month your healing is well underway and the result is relatively durable.
	Best,Stephen Weber MD, FACS

Daniel Reichner, MD, FACS · Answer

Based on the type of rhinoplasty surgery, being 4 1/2 weeks out and the type of manipulation, I doubt that any damage was done. To be on the safe side, schedule a follow-up with your surgeon to have him/her check out your nose.

Steve Laverson, MD, FACS · Answer

At four and one half weeks, probably not.  If you did, you would see it.  Follow up with your surgeon if any doubt.

Otto Joseph Placik, MD · Answer

If you think you have caused damage, call your PS just to make sure.  It is better to be safe than sorry.

Ryan Greene, MD, PhD · Answer

Based on your description, it is unlikely that you did any significant damage to your nose. That being said, I would schedule a follow-up appointment with your surgeon for an examination.

Michel Siegel, MD · Answer

Chances are, you did not.

	Of course without a consultation it's impossible to tell, but there are some guideliness-the more grafts that were used in surgery, if they were used, the higher tha chance the may shift with manipulation, such  as facial.The opposite is true.

	You should return to your surgeon and discuss, as he will know what maneuvers were performed during your surgery.

	Dr Siegel

Steven Wallach, MD · Answer

I do not advise patients to get facials shortly after rhinoplasty. I doubt at 4 weeks this is a problem but if you are concerned, I would see your doctor.

Joseph Campanelli, MD · Answer

Although the nose is sensitive after rhinoplasty, it is not fragile. The main concern with rhinoplasty is the nasal bone which can be moved easily soon after surgery. This is the reason that a cast is placed over the top of the nose, offering a small measure of protection from mild trauma. The tip of the nose is cartilage and is very stable after surgery. I allow my patients to begin light activity as soon as they feel able and full activity after 3 weeks.

Michael Elam, MD (retired) · Answer

It is highly unlikely due to your description of events that you caused any trauma to your nose adversely affecting your surgical results. I would discuss the event with your surgeon and discuss with him differences if any you have seen since your facial. I think your surgeon will be able to give you peace of mind regarding your results. I always instruct my patients to inform their dentists, aestheticians, etc of their procedure so they may all proceed with caution. You should be fine, I wish you the best!

Richard W. Fleming, MD (retired) · Answer

It is unlikey you did any harm, but consult with your surgeon. Avoid any nasal trauma for another 3 weeks.

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