What went wrong or should be fixed with my septorhinoplasty results? (Photo)

I really need an opinion other than my surgeon's. 8 wks post closed septo w/osteometies & hump shaved. I am so unhappy! I want to fix it! What went wrong & what needs done now?

Doctor Answers 8

Patience with Healing after Rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Dear tammym
  • clearly you are not happy at this early stage of healing, but you can only be patient at this point
  • the bone will heal with a callous at first, then improve with time.
  • If after 6-12 months, you are still seeing a hump- you can discuss a revision 
Best Wishes

Sacramento Facial Plastic Surgeon

Too early for final results

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
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 not uncommon.

It is important to keep in mind that it is early to pass a final judgment. 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

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Dorsal Reduction

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I can see that the bone and cartilage in the dorsum is not what you wanted.  He/she obviously just didn't take down enough.  As a revision rhinoplasty surgeon, I would rather the first surgeon do too little, than too much.  But, it still needs work.  I am willing to do just dorsal work earlier than the standard "one year out" from the first surgery.  If you wanted a revision to the tip, I would wait until after you pass at least the 6-9 month mark.  I generally ask patients to wait, not because I think you will get to the point that you are happy.  But rather, to let the scar tissue mature, the swelling to completely resolve and to create the best surgical situation possible to that you will need one more (and only one more) rhinoplasty.

John Bitner, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 92 reviews

What went wrong or should be fixed with my septorhinoplasty results?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Appears as a very very conservative rhino portion of the operation. But that is the area that is most seen. After 6 months consider revision... 

Dorsal hump

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It looks like you have a residual dorsal hump that may need to be revised in the future. At eight weeks, it is too early to do anything.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Perisitent Dorsal Hump

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hi,It looks like you have a persistent dorsal hump. The area where the bony and cartilagenous dorsum fuse is not adequately reduced. This needs to taken down some more as well as the dorsal caudal septum.Best,Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Cannot tell hump results at 8 weeks.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Cannot tell hump results at 8 weeks. You need to return to your surgeon and let him feel all.     

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews


{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for the photos and it is still early to truly evaluate your nose but from what you have sent it appears you would benefit from further reduction of your hump Dr. Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 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.