My Nose Tip is Too Big and My Nostrils are Uneven. What should I do?

I had rhinoplasty surgery two weeks ago and I'm concerned that my nostrils are uneven and my nose tip is too high. The tip of my nose was bent before and I was looking for it to be more curvy after surgery. What I'm now left with, is not what I imagined it would look like. I have included pictures of my nose. Can a kind doctor please tell me in their honest opinion if they believe the tip of my nose will go down? Thank you. 

user1663504

F, United Kingdom

Tags:nose tip 2 weeks post-op

Hi there, and thank you for your question!

Try not judge your final results just yet as it takes at least 4-6 weeks for most of the swelling to resolve, and 6 months for your final result.

I tell all my patients not to look at their nose for at least 6 months as it will go through many changes before achieving the final shape and look.  When tip work is done, the nose always tends to look too high at first and then comes down over the course of several months.  I know if it is hard to hear that, but noses just take a long time to heal.  Just be patient.

Dr. Gary Breslow has 12 Nose job before & afters:

Nose job before image performed by Dr. Gary D. BreslowNose job after image performed by Dr. Gary D. BreslowNose job before image performed by Dr. Gary D. BreslowNose job after image performed by Dr. Gary D. BreslowNose job before image performed by Dr. Gary D. BreslowNose job after image performed by Dr. Gary D. BreslowNose job before image performed by Dr. Gary D. BreslowNose job after image performed by Dr. Gary D. Breslow

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I understand your concern — your nose can have a big impact on the symmetry, balance, and beauty of your face. The good news is that it’s still very early on in the healing process and you may find that your nose settles into its shape over the coming months. Some plastic surgeons intentionally over-rotate the tip during surgery so that it falls into the correct position after the initial healing phase which can take a few weeks.

I think it’s worth noting that the swelling associated with this type of procedure can also have a significant impact on the shape of your nose and your face. It usually takes about three or four months for most of the swelling to disappear and as long as a year to see final results.

With this in mind, I recommend that you try to be patient and remain optimistic about your results before passing judgment on the procedure. There’s a good chance that you will be more satisfied with the results once the swelling goes and your nose takes on a more natural look,  complementing your natural features.

There are also a number of things you can do at home to support the healing process. For example, most board-certified plastic surgeons will advise you to avoid strenuous exercise for a few weeks after surgery, as the increased blood pressure can cause swelling and interfere with healing. In addition, if you wear glasses, you should avoid resting them on the bridge of your nose as this can impact the shape. You’ll also want to wear sunscreen when going outdoors to prevent long term discoloration of the skin on your nose. Finally, your plastic surgeon might offer prescription medication and/or supplements to support healing — always take as directed.

If you’re still unhappy with the results after the healing process is complete, you may be able to address your concerns with additional nose reshaping. However, most plastic surgeons will advise you to wait at least a year before exploring further cosmetic surgery.

Many patients report uneven nostrils in the weeks following their rhinoplasty procedure. Asymmetric nostrils are typically caused by swelling, but may also be attributed to the formation of scar tissue, or the splints and/or tape your physician may have applied during surgery.

Judging from your photos, it does appear that you have some slight nostril asymmetry, but I would strongly advise allowing your nose to heal completely before panicking or exploring revision rhinoplasty. You’ll be pleased to know that, in the majority of cases, nostril asymmetry resolves itself in time — it’s just a matter of waiting.

It typically takes around three months for the swelling to go away and up to two years for your nose to completely heal. Throughout this time, you will notice your nose subtly change shape as it heals. Do your best to be patient and avoid scrutinizing yourself in the mirror. If nostril asymmetry persists after your nose has healed, then you can consider revision surgery. Many rhinoplasty specialists recommend waiting at least 12 months (and sometimes longer) after your initial surgical procedure before getting revision cosmetic plastic surgery.

In regard to the tip of your nose, you’ll be pleased to know that an over-rotated tip is more or less to be expected two weeks post-rhinoplasty. Rest assured that this is normal and is all part of the process. As the swelling goes down over the next few months, you’ll probably find that the tip comes down to give you a more natural and aesthetically pleasing look. Other than following your plastic surgeon’s postoperative care instructions, there’s not much you can do to speed up the healing process, so just hang in there and try to stay positive!

Alexander Ovchinsky has 10 Revision Rhinoplasty before & afters:

Revision Rhinoplasty before image performed by Dr. Alexander OvchinskyRevision Rhinoplasty after image performed by Dr. Alexander OvchinskyRevision Rhinoplasty before image performed by Dr. Alexander OvchinskyRevision Rhinoplasty after image performed by Dr. Alexander OvchinskyRevision Rhinoplasty before image performed by Dr. Alexander OvchinskyRevision Rhinoplasty after image performed by Dr. Alexander OvchinskyRhinoplasty (nose job) before image performed by Dr. Alexander OvchinskyRhinoplasty (nose job) after image performed by Dr. Alexander Ovchinsky

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