2 Years Post Nose Surgery: Tip is Still Swollen

Hello all, In August I will be approaching 2 years post-surgery (to fix a bump in my nose and a slightly downward tip). I'm very happy with the bridge of my nose, however the tip still retains a distinct ball-like appearance: this is largely due to the right side being still hard and generally misshapen, and the underside of the tip seems to hang down at a level that is not esthetically pleasing.

When I went to my doc he said it was fine and healed, but I'm quite unhappy. Any suggestions?

Doctor Answers 4

Hanging tip

Generally most swelling will be gone after 1 year.  It is unlikely that anything will improve after 2 years. Please place some pictures so we can give better suggestions on what the options are.   Best of luck, Dr. Michael Omidi

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 90 reviews

2 years after rhinoplasty - Tip Swollen


Two years after your rhinoplasty it is unlikely that any remaining deformities are due to only swelling. What is going on can depend on the type of technique used to perform your rhinoplasty as well as if any grafts were placed in the tip of your nose. However, if the tip is too large is can be do placement of tip grafts, under-resection of the nasal tip cartilages or scar tissue formation in the tip of the nose. If the "underside" of the tip is hanging down this is most likely a "hanging columella." Many of these aesthetic concerns can be addressed with a revision rhinoplasty but it is truly difficult to tell without a photograph of your actual nose.




Gary Motykie, MD
Los Angeles Plastic Surgeon
4.4 out of 5 stars 67 reviews

Nose Swollen Post Rhinoplasty

A few thoughts.  First, the injection of a low dose of steroids can sometimes help soften any scar tissue that is present.  If not successful, the next step is to performed a limited tip rhinoplasty to correct the defect.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 128 reviews

Rhinoplasty revision

Without pictures or a face to face examination it is impossible to know what is going on or what should be done. If you see another surgeon be sure to bring the operative report and photos from the previous surgeon. It sounds like the alignment of the tip cartilages is off. If the previous rhinoplasty involved realignment of the tip cartilages via an internal approach the chance of this being the case is greater. In that case you would likely need revision via an open approach.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 1 review

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.