Will I require a revision rhinoplasty to correct asymmetrical shape? 9 months post op

Based on your progression from three months to nine months, I suspect that you are seeing changes as you are headed towards your final result with less swelling. I do not think that a topical cream will help you. You appear to have a small indentation along the right side wall of your nose at the level of your nasal bone, and there is also a slight indentation along the cartilaginous portion of your left nasal side wall. Depending on your examination, microdroplet Silikon 1000 injections may be considered for achieving a straighter and less operated nasal appearance, without the inconvenience of additional surgery. I hope this helps. Sincerely, Dr. Joseph

Hello and thank you for your question. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months after surgery and continue as needed. I recommend that you maintain close follow up with your surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon