9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery? (photos)

Question

I am 9 months post op and I’ve noticed my tip has dropped significantly and I feel like the bottom of my nose is rounded and bulbous which was not my initial result. I am happy with the straightness of my bridge and did not ask for an upturned tip however feel that the tip is starting to look droopy and elongate my nose. Could this be swelling? Is this something that would need to be addressed with revision surgery?

Jonathan Kulbersh, MD · Answer

Thank you for posting your question and photos. Though much of the swelling is reduced within four months, your nose will be in a phase of recovery for at least one year following your rhinoplasty procedure. It is generally suggested to wait until this entire recovery process is complete to see the final results before considering a revision procedure. 
If you are still unsatisfied with your rhinoplasty results after this time, a revision procedure can reshape the droopy, bulbous appearance of the tip you describe while maintaining the straightness of the nasal bridge. I recommend maintaining in-person contact with an experienced, board-certified facial plastic surgeon who can assess your aesthetic concerns at the end of your rhinoplasty recovery period.

Jeffrey Lisiecki, MD · Answer

It could still be swelling, as the infratip is the last area to lose swelling after an open rhinoplasty, but overall you should be improving now. Give it a full year for swelling to resolve for a primary rhinoplasty, and be seen by a rhinoplasty surgeon who can examine to see if this is swelling or the shape of your nose. If it is not swelling and the shape of your cartilages after your initial rhinoplasty, then revision rhinoplasty would be the solution to reshape the tip.

Gurkan Kayabasoglu, MD · Answer

Hello. You do not look like a patient with very thick skin. Therefore, the photo you uploaded shows that the edema is almost gone. Your dorsum is a little high. The type projection is a little low. Therefore, it can be corrected very simply with a nice revision. However, I think your chin tip is also small, so the harmony of your nose to your face is poor.  You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Joseph Shvidler, MD · Answer

You should wait at least 12 months before considering any revision surgery, but you may have a slight hint of a hanging columella. You may need a minor revision tuck-up of the lower part of the nose to balance out the nostril and columellar proportions on the side view. It would be nice to see the front views as well.

Omer Sagir, MD · Answer

Hi Dear!
Rhinoplasty surgeries cause a lot of swelling on the area which should be taken care of through regular massaging after the operation. Because of gravity, swelling centers itself on the tip of the nose which can result in dropping off the tip.
If the current appearance of your nose does not make you happy, you may consider having fillers on the area to lift the tip. Seems like your concern doesn't require to have another surgery at the moment. You may have the injections first and then consider a revision rhinoplasty if you are still unsatisfied with the result to have a permanent solution since fillers dissolve usually after a year.

9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery? (photos)

Answers (5)

Answer: 9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery?

Answer: 9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery?

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery? (photos)

Answers (5)

Answer: 9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery?

Answer: 9 months post-op and tip has dropped. Is this something that would need to be addressed with revision surgery?

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

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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.