Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Question

I am 11 days post op from my primary rhinoplasty and I am very unhappy with the results. I realize I still have swelling but my tip and show of my nostrils are unnatural and unattractive. It looks like a ski slope! Will my tip come down over time as the swelling decreases or will it continue to get worse? How much of an improvement could I expect with a revision? Thank you for your advise.

Edward S. Kwak, MD · Answer

11 days after rhinoplasty surgery is very early. Your tip position can be expected to change over the next year. Right now, patience is paramount. At your next postoperative visit, discuss your concerns with your surgeon.  It would be beneficial to see your results in six months to reevaluate your current concerns. There are several options to correct your nose if it requires lengthening.

Sam Naficy, MD, FACS · Answer

11 days is obviously very early in the course of healing - if your tip does not drop down there are a number of good nasal lengthening options

Thomas A. Lamperti, MD · Answer

It is not uncommon for the nose to appear somewhat upturned right after surgery due to the swelling. Especially after the first few weeks this can settle out a quite a bit. Your ultimate result would take at least a year to take form however.

	It's not quite clear to me if your current over-rotation was present at all before your recent surgery, however. I would discuss your concerns with your surgeon to see what he or she thinks.

Anand D. Patel, MD · Answer

It is difficult to predict how things will progress, but it is always best to wait until the healing process has stablized (usually 1 year). If a revision is required you probably will need your nose to be lengthened. This is one of the more challenging rhinoplasty techniques, but can be done well by an expert on revision surgery. Lengthening and lowering the nasal tip will likely make the nose look less "ski-slope" in profile.

Stephen Prendiville, MD · Answer

I agree with other Surgeons who have posted on this topic.  Although the nose does appear over-rotated now, you can expect some relaxation of the tip over time.  Only time will tell, because Rhinoplasty results can only be accurately judged after 1 year.  I would most definitely not seek a revision before 1 year.

Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Answers (9)

Answer: Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Answer: Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Answer: Rhinoplasty Results

Answer: Rhinoplasty Results

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Answers (9)

Answer: Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Answer: Can a Shortened Upturned Nose Be Fixed with a Revision Rhinoplasty?

Answer: Rhinoplasty Results

Answer: Rhinoplasty Results

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.