Why did my nose got long again 1 year after rhinoplasty? (Photos)

Question

First photo was taken before the rhinoplasty, second 1 month after and 3rd one 1 year after. It used to be much smaller the first 1-4 months, I loved it but i started noticing that it was getting longer and longer and now the size is exactly the same as before the surgery, my surgeon doesn't reply, why did this happen and how is this possible? I'm 22.

Steven J. Pearlman, MD, FACS · Answer

Sometimes the tip of the nose looks longer but it might be from other issues. It appears that your bridge was lowered. That can make the tip look relatively longer. I find computer imaging very helpful for demonstrating why a nose looks like it does and what possible changes might be.

Toby Mayer, MD · Answer

Revision rhinoplasty for the hanging columella and overdone dorsal resection. An examination of the nose is needed but these can be reversed as seen on my website and others. This should be done by a very experienced revision rhinoplasty surgeon who can show you dozens of his results in noses like yours.

Umang Mehta, MD · Answer

An in-person exam would be helpful but it’s certainly possible that you may have some scar tissue under the skin that could respond very well to a steroid injection. I use Kenalog plus 5-FU for this. If your surgeon is unresponsive, you could seek a 2nd opinion. 
Kind regards,
Dr. Mehta

William Portuese, MD · Answer

From the side profile photographs, it appears that you had a dorsal hump reduction which makes the  nose look Long in the vertical axis. There is also a hanging columella present in all of the photographs.  A revision rhinoplasty with a columella-plasty can accomplish shortening the nose.

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Why did my nose got long again 1 year after rhinoplasty? (Photos)

Answers (4)

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