Does my implant look funny is the bridge extruding? And is my nose a funny shape it looks big at the bottom? (photo)

I am 4 months post op and now the swelling has gone the tip seems really large and the bridge looks like its extruding and is visible on the sides especially in the light! Will this settled and look less obvious in time or should I look at having a revision?? I had a tip graft using fat from my head to create the tip of my nose along with a silicone implant.

Doctor Answers 6

Concerns after rhinoplasty

Thank you for your question!

It is understandable that you are concerned. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that you are not certain about the bond between you and your ameliorated nose! 

It is important to keep in mind that it is early to pass a judgment and many patients take some time to get used to a major facial change such as the one introduced by rhinoplasties. Usually, a year is required before formulating how your nose will be, but longer with a thick skin. Even then, your nose will keep shaping itself to complement your face for better results in the years to come.

My best recommendation at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling resolves, more definition and shape will be achieved and you should be happier with the results.

Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.

Congratulations on your surgery and remain positive!

Ali Sajjadian, MD FACS

Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews

Nasal implant

It is a bit early at 4 months post op to determine final implant appearance.  If you feel your nose is still too large at 8-10 months post op, then would be a good time to discuss with your rhinoplasty surgeon regarding possible revision.

Tom D. Wang, MD
Portland Facial Plastic Surgeon
4.9 out of 5 stars 29 reviews

Post op rhinoplasty

I would give things more time to allow swelling to completely resolve. I generally recommend waiting a year before making a final decision on a nose. Then if you are not satisfied, you can proceed with revision. Good luck. Donald R. Nunn MD Atlanta Plastic Surgeon

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 47 reviews

Silicone implant revision?

Silicone implant revision? It is too soon to say but generally as more swelling goes down it will look worse along the sides. Wait at least 2 months and then see your surgeon or a revision rhinoplasty surgeon. I do these with cartilage and do not use silicone for many reasons. Other surgeons like silicone.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Four months too early to consider a revision after rhinoplasty.

From the photographs provided I don't see anything particularly wrong. Any specific questions you have about the appearance of your nose should be addressed to your plastic surgeon. In any event four months is too early to consider a revision.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews


Usually fat grafts get somewhat reabsorbed so I expect your tip to go down. You can help by massaging the tip in an upward fashion. I don`t usually use silicone implants but their infection rate is low and they do not integrate into the nasal tissue and can be easily removed if you dont want it. My advise is to wait at least a year to have the nose settled and then decide if yu want a revision. You should first go back to your plastic surgeon.

Vartan Mardirossian, MD
Jupiter Facial Plastic Surgeon
4.8 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.