1 year post op swelling is gone but nose looks a little asymmetrical (Photo)

Question

I got a rhinoplasty a year ago and I noticed that there’s a bump on the side of my nose and it’s noticeable. It kinda makes it look like my lose is leaning to the left side but i think it’s got to do with the contouring of the nose.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question
As far as I can understan from your question At one year post-op, healing is largely complete, and a visible side bump that creates a crooked appearance usually stems from an asymmetrical bony/cartilaginous contour, an unlevel osteotomy line, or a shifted graft.
To correct this contour irregularity and restore central alignment, an open revision rhinoplasty is required. The open technique provides the direct visualization needed to precisely rasp or reshape the bony bump, smooth the nasal sidewall, and place subtle symmetry grafts if necessary, ensuring a balanced, straight profile from the front view.
Best Regards!

Eric M. Joseph, MD · Answer

I can see that you have a small convexity along the sidewall of your nose. If this is the case, osteotomies may need to repeat be repeated to move the sidewall of your nose closer to the midline for a straighter nasal appearance. This should not be a major undertaking. I hope this is helpful! Sincerely, Dr Joseph

Robert J. Chouake, MD · Answer

Hi,
It looks like the bump you're seeing might be because the nasal bone on the right side didn’t move as much as the bone on the left during your surgery. Sometimes, the bone can shift back a little during healing, which can happen naturally and isn’t anyone’s fault. 
The good news is this can likely be fixed with a quick, simple surgery and depending on your surgeon may not require opening your nose again. I’d recommend reaching out to your surgeon to talk about this option.
Best of luck!
Dr. Chouake

Mats Hagstrom, MD (license on probation) · Answer

Based on your pictures, it looks like your nose is deviated more towards your right not the left.
You didn’t include a question so I’m not sure what you’re trying to achieve.
To make a quality assessment we typically need a complete set of proper before and after pictures.
We usually assess the nose in context to the rest of the face.
Facial asymmetry is present in all people.
 Best,
Mats Hagstrom MD

1 year post op swelling is gone but nose looks a little asymmetrical (Photo)

Answers (4)

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