Tip deviation 9 months postop - could this be a new structure issue or scar tissue? How can I improve this? (Photos)

Question

I had a rhino 9 months ago and rverything seemed good. Some time after 6 months, the tip starting looking crooked, like pulled over to one side. My nose was straight before surgery. My bridge looks okay but the tip is my concern. Im wondering if its a new underlying structural issue or if its weird healing, or scar tissue formation... what are my options?

Eric M. Joseph, MD · Answer

Based on your photos, we can see a bit of nostril retraction with your healing. It is conceivable that you have asymmetrical nostril retraction which is causing an asymmetry. If this is the case, microdroplet Silikon-1000 nasal injections maybe considered for lowering your nostrils, and for improving upon nostril symmetry. I hope this helps! Sincerely, Dr Joseph

Tanveer Janjua, MD · Answer

The deviation likely happened from movement of a graft. There appears to be a dorsal implant or graft. There is a mild deviation in the vertical axis. Since it is mild, it is best to leave it alone. It is not effecting the beauty of the face. 
Regards
Dr. Janjua

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, it is difficult to determine everything going on with just these frontal views. If there is deviation in the tip, then this can likely be corrected with a revision surgery. 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

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Tip deviation 9 months postop - could this be a new structure issue or scar tissue? How can I improve this? (Photos)

Answers (3)

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