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

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

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

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.