Is my nose over-rotated and will the tip go down? (photos)

Question

I had my primary rhinoplasty one month ago. I feel my nose is over-rotated. My original nasolabial angle was 96 degree. I asked the doctor for a narrower alar, more defined and little higher nose tip. He used my septum cartilage to build a new nose tip and reduced my alar base. Now the angle is 110 degree and the tip looks as big as before. Will the tip go down to the ideal range of 95-105 degree and get more pointed? I'm pretty concerned since my nostrils are shown too. Thank you!

Vincent N. Zubowicz, MD · Answer

Early postoperatively the angle between the nose and the lip may appear open because of swelling. As swelling subsides the angle may close. It's too early for you to worry about the final aesthetic product is there is a sizable amount of swelling in anyone at one month.

John L. Burns Jr., MD · Answer

It would be best to allow all the swelling to resolve before making any final assessments.  The swelling can have an effect on the tip size and amount of rotation you are seeing right now.

Marcelo Ghersi, MD · Answer

Hello. The tip is maybe a bit high. At one month, you still have some healing to undergo. If in a few months you are still unhappy with the tip elevation, I would consider a revision.

Raghu Athre, MD · Answer

The rotation of your nose will most likely go down.  It is not abnormal for a nose to appear overrotated for a short period during the healing phase.How much derotation you will get is dependent on struts, caudal septal resection, etc.  At 1 month postop it is hard to note final results.  Let healing continue and judge results at 6-8 months.  You will get more tip definition as swelling subsides.

Remus Repta, MD · Answer

Great question.  I suspect that your nasal tip will rotate back down to some degree.  As swelling goes down the nasal tip size and projection will also likely go down.  How much improvement is hard to know and depends on the side of the coupler strut cartilage placed.  At one month, there is not much to do other than be patient and give your body a chance to heal properly and show the final result.All the best,Dr. Remus Repta

RHINOPLASTY PROVIDERS NEAR YOU

Is my nose over-rotated and will the tip go down? (photos)

Answers (5)

RHINOPLASTY PROVIDERS NEAR YOU