I had Rhinoplasty 3 months ago and the tip of my nose is droopy now. Is it ok to have a revision at 6 months? (photos)
Doctor Answers 9
After a rhinoplasty procedure, either open or endonasal (closed), there are a number of dynamic and static changes that occur over time. It is extremely important that you be patient and wait a full year before assessing the final aesthetic quality and outcome of your nose job surgery. Quite often, patients are surprised that the aesthetic result that they see at three months and concerns they may have at that point are completely gone at 12 months.
I know it is difficult to wait to achieve your aesthetic goals and, in the interim, in my own rhinoplasty practice of 20 years, I have found that injection rhinoplasty techniques performed at the 12-week mark, can camouflage small dorsal irregularities or bumps as well as provide tip rotation and support. The products that I use in these injection rhinoplasty procedures, such as five minute nose jobs, can be used to provide the camouflage and support for tip rotation, tip irregularities and bump irregularities, camouflaging the healing process while the edema and swelling of your nose surgery settles.
At the one-year mark, the soft tissue gel used in the injection rhinoplasty can be dissolved away with a simple enzyme and the final appearance of the nose then assessed. Revision rhinoplasty should involve returning to your original nose surgeon, as they will have a vested interest in you achieving the best possible outcome. Discuss your concerns with your original rhinoplasty surgeon to ensure that they understand the concerns you have. Most qualified and experienced rhinoplasty surgeons can achieve a significant degree of improvement with revision rhinoplasty, but this needs to occur at no sooner than the 12-month mark.
Hope this helps.
R. Stephen Mulholland, M.D., Private Plastic Surgeon, Yorkville
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Whilst it is difficult to assess your nose from the photos you have provided and without seeing your preop photos, however, it would seem the concern you have with your tip is not going to change much over time, however there may still be some swelling in the dorsum which is making things look worse. 6 months would be the absolute earliest time for revision, but 9-12 would probably be better. Although you dont feel your nose swelling is decreasing, it invariably is.
In terms of the approach, revision surgery is alway more difficult than primary surgery and what seems like a small problem to you may be difficult to correct. With that in mind I think an open approach, would be best. It will allow your surgeon, the best access as well as control surgically.
In terms of technique, from what I can see, you will need the hump to come down a bit, that will give you a better relationship between your dorsum and your tip and then you will need a columelar strut to help support your tip in a better position.
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