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Is it possible to fix a lifted high nose tip in a secondary rhinoplasty?

Q:

I had Rhinoplasty about 45 days ago.  I think my nose tip is too lifted.  I'm very disappointed in the results and I'm thinking about a secondary rhinoplasty.  Is it possible if I wait that my nose will change after a bit of time?  I don't like my new look - what can I do?

A:

It is going to take a full year before you achieve your final results!  I will encourage you to be patient. Almost all rhinoplasty operations start out over-rotated, like what you are describing, after the tape comes off.  A natural progression for the nose is to rotate down into place after the swelling goes away and the tissue settles down a bit.  I normally recommend waiting the full year before revision surgery to let the inflammation in the nose dissipate as best as possible.  Be patient - this is most likely to pay off.  Go and talk to your surgeon and see what options you have - sometimes taping at night and steroid injections can be used - but listen to your surgeon about whether these treatments are indicated in your case.  Hang in there!

Aldo Guerra, M.D.
Scottsdale, AZ

A:

Yes, the tip of your nose may descend.  It is best to wait.  It is too early to do anything. 

Your tissues are still going to soften and change.   

Call and discuss your concerns with your plastic surgeon as he is in the best position to know what was done and what to expect.

Fredrick A. Valauri, M.D.
New York, NY

A:

Some of the shortness is temporary because of swelling and will improve over the next 12 months.  However, if your nose is still short at the end of a year, lengthening is possible.  As hard as it may be, try to be patient and let your surgeon guide you.

Mark B. Constantian, M.D., FACS
Nashua, NH

A:

EARLY UPTURNED NOSE AFTER RHINOPLASTY– Rhinoplasty results take at least a year to see the final result and it is not uncommon to have your nasal tip slightly upturned initially and will subside and come down over the next 9-12 months. I would not be to worried if it is just a couple of months post-op.

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