Why is my nose changing so much after primary rhinoplasty? 20 months post op now (photos)

Question

I am 20 months post op and I feel that my nose is getting worse with time. I am experiencing a dip in the middle of my nose, uneven nostrils and retraction, a bulbous tip and unaesthetic dorsal aesthetic lines. I feel like the bridge of my nose is also not even and I can see and feel asymmetry especially in photos. How can this be fixed and why is this happening now? I have thick skin and have received 3 steroid shots at 6,9 and 12 months. My surgeon won’t tell me why this is happening !

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have an indentation just above your tip, and there may also be nostril retraction on both sides. I believe you are seeing this because all of your swelling has now dissipated. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for filling the indent along your bridge on profile, and for lowering your lower nostril margins for a less operated nasal appearance. I hope this is helpful. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, placement of alar contour grafts to correct alar retraction nasal tip deprojection, tip elevation, among other maneuvers. 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

Ronald J. Edelson, MD · Answer

The nose continues to change after even 3 years. Overall your result is good but your tip could benefit from refinement that the steroid shots were unable to produce.

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. Surgery technique, healing process, and complications all can play a role.

Zoran Potparic, MD · Answer

Some patients may need longer time for postoperative scars to mature and settle. The fact that you had several corticosteroid injections tells that you are within that group of patients who react with prolonged and excessive scaring. This type of  reaction may change initial result after surgery to a certain degree; that  is not something that surgeon has a full control off! You should wait until result is mature and then address the issues with revision surgery. However, have in mind that the same process of excessive scarring may happen after next surgery. Good luck.

Why is my nose changing so much after primary rhinoplasty? 20 months post op now (photos)

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Why is my nose changing so much after primary rhinoplasty? 20 months post op now (photos)

Answers (9)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Nose change after rhinoplasty

Answer: Nose change after rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.