Do I need another revision to fix the tip of my nose or will it shrink down over time? (Photo)

Question

I got my first rhinoplasty sevenyears ago when I was 15 and I got my revision two years ago. The revision was to fix the hanging columella but instead it also rose one of my nostrils on the right. My main issue it my side profile, the supra tip seems so high & squishy to touch, will this maybe go down w time/steroid injections? I hate the right side so much bc the nostril’s so high and looks longer than the left side.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Great questions and thanks for the photos. The nostril asymmetry likely won't improve at this point without some form of surgical intervention. Options would be rim graft, composite graft, or lateral crural struts with repositioning. If the supratip seems high, your nose may need to be downrotated. Steroids can help to reduce the swelling and thickness of the skin, but don't always work at 2 years out from surgery. It would be worth a try to use steroids, compressions, and nightly taping first if those haven't been done. If no improvement after several treatments, a revision may be needed. Hope this helps you!

Do I need another revision to fix the tip of my nose or will it shrink down over time? (Photo)

Answers (1)