Possible Tip Collapse 18 Months Post Rhino? (photo)

Question

I had rhinoplasty almost 18 months ago. I didn't notice anything wrong with the tip until right around a year post op. I think it may have still been swollen. It is hard to tell in the picture but the right side of the tip is kind of angled and flat and does not match the other side of the tip. Can this be improved with fillers? It would be really great if it could as I really do not want another surgery.

Ali Sajjadian, MD, FACS · Answer

Hi,

	Delayed tip collapse happens when the structural integrity of the nose is violated; sometimes it takes place as a delayed reaction when nasal parts/grafts settle (cartilage absorption may take place if used).

	Fillers are a temporary fix and cannot reflect the same results a corrective surgery can have over your nose hence your entire face.

	It is perfectly normal that a patient feels uncomfortable and not ready for a corrective survey when he/she had their first one soon; fillers can be used to give the patient an idea of what a corrective surgery will provide.

	In other words, the fillers could work as a try-out approach so the patient is comfortable with the change and if they decide to make it permanent without having to rely on the fillers as a repetitive solution, a corrective surgery will be the logical choice to pick.

	That being said please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.
	
	I hope this helps.
	Thank you for your inquiry.
	The best of luck to you.

	 

	Dr. Sajjadian

Mario J. Imola, MD, DDS · Answer

Your surgeon has the best idea as to what may be causing the tip asymmetry.  The possibilities are directly related to the various maneuvers performed to the initial surgery and can include one or more of the following:

	
		Asymmetric cephalic strip resection.
	
		Asymmetric domal sutures.
	
		Asymmetric lateral crura setback procedures.
	
		Asymmetric cartilage grafts.


	Fillers can improve things but not give the best possible result.  Furthermore, they are temporary.

	Mario J. Imola, MD, DDS, FRCSC.

Thomas A. Lamperti, MD · Answer

This type of delayed tip collapse is something that can happen after rhinoplasty. This is one reason why we must focus on the structural integrity of the nose during surgery.

	I don't recommend placing fillers in the tip of the nose. It would only give you a temporary improvement and there are risks of permanent damage to the skin which is ultimately very difficult to treat.

	I can understand not wanting another surgery, though. If it is something that bothers you it may be worth talking to a revision rhinoplasty specialist to see what options you have.

Steven Wallach, MD · Answer

Tip collapse can happen.  I am not a big fan of fillers for nasal rejuvenation, it will only be temporary.

Darryl J. Blinski, MD · Answer

To answer your question YES tip collapse can occur anytime. But your posted photos are of no help.

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Possible Tip Collapse 18 Months Post Rhino? (photo)

Answers (9)

Answer: Tip issues and filler?

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Answer: Possible Tip Collapse 18 Months Post Rhino

Answer: Possible Tip Collapse 18 Months Post Rhino

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Recommended reading

Everything you need to know about Rhinoplasty

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