Uneven Tip After Rhinoplasty? (photo)

Hello, I had setpo/rhinoplasty almost 2 months ago to correct a dorsal hump and deviated septum. The left side of my nose is so uneven compared to the other. My surgeon injected it with the smallest amount of steroid possible about 2.5 weeks ago and it did nothing. I know swelling takes at least 12 months to go away. Could this be just swelling? Or extra cartilage that was left over?

Doctor Answers 6

The Nasal Tip in Septorhinoplasty

Your photos do not show your entire nose but they do show a significant nasal tip and nostril asymmetry. Only preop photos would define the extent of your aesthetic problem that could have led to your tip asymmetry. It is early postop and since you describe the problem as isolated to the left side of your nose it very may improve over time . Give it at least 6 months and maybe even a year before deciding on further surgery.

Hoover Plastic Surgeon
5.0 out of 5 stars 7 reviews

Uneven Tip After Rhinoplasty?

      This asymmetry may be due to asymmetric swelling but this would be hard to say for sure.  I would wait the full year and then decide if you need a revision.  If you do need a revision, find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Uneven Tip After Rhinoplasty?

Without IN PERSON examination and ability to "touch" the tip, very hard to address the issue. My guess is extra cartilage. Please STOP the steroid injections!!! Can cause more issues. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Uneven tip after Rhinoplasty

You seem to have a thick nasal skin and this will prolong healing process and steroid injections. Right now, the best course of action it to wait and also follow up with your surgeon regularly.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon
4.6 out of 5 stars 12 reviews

2 months after rhinoplasty and uneven

Most likely you have a lot of swelling in the tip that needs to settle down at this point. I would not do anything more at this point except wait it out.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Uneven nasal tip at 2 months pot op

At this point I would wait it out.  It is entirely possible that this irregularity will go away on its own.  At the one year point if it is still there then you may need a revision.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 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.