I'm scheduled for a rhinoplasty this month. I watched plenty of Youtube rhinoplasty vlogs and pictures, many have "bigger" or "lumpy" looking noses after. Almost like a piggy-ish look at the tip. I KNOW swelling takes time, but even after a year some of them have (yes less definition) but it looks fatter at the nostril area. Why is this? How is this when they graft OFF the nose and trying to REDUCE the size. It's freaking me out. I want a SMALLER nose and want to remove some bumps on the tip.
August 3, 2021
Answer: Rhinoplasty Hello and thank you for your question. Often this appearance is due to swelling. But you are correct in that the swelling should be gone by one year. My best advice is to specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. If you like all of your surgeon's before and after pictures, then try not to worry so much and you will also likely have a good outcome.Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful 1 person found this helpful
August 3, 2021
Answer: Rhinoplasty Hello and thank you for your question. Often this appearance is due to swelling. But you are correct in that the swelling should be gone by one year. My best advice is to specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. If you like all of your surgeon's before and after pictures, then try not to worry so much and you will also likely have a good outcome.Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
Helpful 1 person found this helpful
January 31, 2022
Answer: Why do noses look fatter/wider AFTER rhinoplasty? Hello,Thanks for your question.Noses can look wider after surgery for several reasons:1. increased width of the nasal bones after the hump is removed2. excess swelling in the nasal tip3. nasal tip scar that thickens the tip4. thick nasal tip skin that doesn't shrink well after rhinoplasty5. vascular congestion of the nasal tip skinThe blood supply to the nasal tip skin is very tiny. When it gets damaged, it can have problems rebuilding properly. This can cause a backup of swelling (edema) to the tip. This edema can be permanent in some cases. Ethnic patients with thick, oily tip skin have a difficult time getting smaller tips. Methods to improve this might include nasal tip steroid injections, nasal tip cartilage grafts, and use of retinols/Accutane to help the skin thin out more.Make sure you address these questions to your surgeon to get their take on the subject.Good luck,Dr. Shah
Helpful 6 people found this helpful
January 31, 2022
Answer: Why do noses look fatter/wider AFTER rhinoplasty? Hello,Thanks for your question.Noses can look wider after surgery for several reasons:1. increased width of the nasal bones after the hump is removed2. excess swelling in the nasal tip3. nasal tip scar that thickens the tip4. thick nasal tip skin that doesn't shrink well after rhinoplasty5. vascular congestion of the nasal tip skinThe blood supply to the nasal tip skin is very tiny. When it gets damaged, it can have problems rebuilding properly. This can cause a backup of swelling (edema) to the tip. This edema can be permanent in some cases. Ethnic patients with thick, oily tip skin have a difficult time getting smaller tips. Methods to improve this might include nasal tip steroid injections, nasal tip cartilage grafts, and use of retinols/Accutane to help the skin thin out more.Make sure you address these questions to your surgeon to get their take on the subject.Good luck,Dr. Shah
Helpful 6 people found this helpful