One month after rhinoplasty, tip was lifted too high and my nostrils show too much. When can I have a revision? (Photo)

It is too early to consider revision rhinoplasty.  At one month after surgery there is significant edema, scar tissue formation and any revision surgery will be suboptimal.  Waiting for 1 year can be a very difficult task but is the right thing to do.RegardsDr. J

I reviewed your concerns and your photos, and depending on your exam, you may be able to achieve improvement in short notice.Your tip will / should drop several millimeters over the next two months since this occurs in most after rhinoplasty, especially if you have thick tip skin.The appearance of your tip appears to be exacerbated by your bridge that may be too low. You may consider consulting a rhinoplasty specialist experienced in the art of Nonsurgical rhinoplasty to raise your bridge for a softer nasal appearance.Nasal derotation surgery is extremely difficult to perform with reliable results, and would require waiting for many months to consider.Im sorry you're not in a good space right now, and I hope this will be helpful for you.Thank you.Dr Joseph

At this point unfortunately you have to wait for all the swelling to go down and for the soft tissues to be supple. This often takes a year or more.  Then you get it revised if you want.

Your result is classic for a closed rhinoplasty with an overdone dorsal resection, possibly a cephalic trim of the lower lateral cartilages and likely in-fracture....At a minimum, your revision will require multiple structural grafts including bilateral spreader grafts to restore your dorsum and dorsal lines and a columellar strut graft for control of tip rotation/projection...1 month post op is too early to operate but certainly not too early to begin vetting your potential solutions...6-12 months is more appropriate depending upon several individual factorsModern, nondestructive, anatomical rhinoplasty techniques are more sophisticated than they were 20 years ago. In the minds of most true rhinoplasty experts today, beyond appropriate training/credentials, these characteristics are tantamount to achieving consistently excellent rhinoplasty/revision rhinoplasty results:1. many years of rhinoplasty practice experience2. judgment and techniques that have evolved over time3. practice focused on rhinoplasty 4. willingness to do difficult, secondary and reconstructive cases5. interest in teaching others how to evaluate and do rhinoplasty properly6. willingness to share rhinoplasty resume, photos and patient experiences with prospective patientsgood luck

Hi,Although you are very early post-op, your tip looks  over-rotatated. You should address this with your surgeon and seek a second opinion. Revisions surgeries can be performed when a surgeon believes enough swelling has resolved or there is an obvious abnormality. Typically this takes 8 to 12 months.Best,Dr.S.