Feeling down about rhinoplasty result after initially being in love with it, will I need revision? (Photos)

Question

Hello :) I’m currently 6 months post op from my septorhinoplasty with colum stut graft and when I first got by cast off (middle photo) I was absolutely in love with my new nose. It wasn't until I got to about week 5 when the swelling went down that I realised features of my old nose (first photo) were starting to reappear (last photo) my tip had dropped and looked bigger and the shape of my nose had gone back to being pointy like it used to be. Will I need a second rhinoplasty?

Eric M. Joseph, MD · Answer

You're 6 month post-operative photo may just be revealing a bit of persistent swelling above your tip. This is called supratip swelling. If this is the case, it may respond to a dilute steroid injection. In that regard, please consider bringing your concerns to the attention of your surgeon. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, if you are not happy with the results, you may benefit greatly from nasal tip deprojection and slight tip elevation During a revision. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Feeling down about rhinoplasty result after initially being in love with it, will I need revision? (Photos)

Answers (2)