I have had a Rhinoplasty 10 days ago to fix lowered tip and bumpy nose. I asked my surgeon to make horizontal projection of the tip with 90°. Doctor used open Rhinoplasty and reinforcement 'armoring' so tip is fixed forever. PROBLEM: The tip seems to be pointed up, instead of horizontal, also short. It really disturbs me as now nose looks a bit feminine. My surgeon, who is one of the best in the area, does not agree with me. What can be done to a bit improve nose looks with second operation?
Upturn Nose After Rhinoplasty? (photo)
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Doctor Answers 6
Too up or just right?
Early in the post op period, swelling in the upper lip lower columella can "push" the tip up a few millmeters. I would have some patience for 4-8 weeks. If it does not come down, you may want to consider revision earlier than later as it can be difficult to de-rotate a nose after it has really "fixed" into its final rotaion. Best of luck to you.
Nose will continue to derotate - should be a nice result
It is very early in the healing process. I would guess that the nose will derotate as you heal more. At this point in time, I would say that your nasolabial angle is at the upper end of normal. Also, although the textbooks describe the nasolabial angle measured from a straight vertical line, I think that upper lips that angle back (like yours) can tolerate more rotation. For instance, if you upper lip was perfectly vertical, then your nose would look much more over-rotated.
Good luck and please make sure you discuss your concerns with your surgeon as well.
Michael Kim, MD
10 days post-op is too soon to judge your result after rhinoplasty surgery.
I read your concerns and reviewed your post-op photos:
You appear to have a nice result, and your tip will likely derotate a few millimeters over the course of the year. Try not to worry about this, as your results will improve with time.
Hope this helps you.
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If there was a fair amount of work done at your nasal base close to your lip then what you may be seeing is a marked degree of post operative swelling in this area. The swelling will make your nose look more turned up or rotated. It will settle with time and de-rotate. How is the swelling of your upper lip?
David Ellis MD FRCSC Toronto Facial Plastic Surgeon at Art of Facial Surgery
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