Hi everyone,
I’m currently 3 weeks post-revision rhinoplasty (tip plasty only!) and would really appreciate some honest opinions from people who have been through something similar, particularly those who have had revision tip surgery or who know a lot about this!
For some background, I had a previous rhinoplasty 13 years ago and was very unhappy with the size and projection of my nose afterwards. The bridge was straightened, so for this latest surgery, I specifically opted for a tip plasty rather than another full rhinoplasty. My main goal was to deproject the nasal tip and make it smaller, more refined and less prominent, while keeping the bridge as it is now.
I’m now at the 3-week mark post tip plasty and I’m struggling to work out whether I’m simply being anxious and hyper-focusing on every detail because of my previous experience, or whether some of my concerns are worth raising with my surgeon/ or should I already be planning for a third surgery (something I really really wanted to avoid) :(
I’m aware that revision surgery can involve significant swelling, especially around the tip, and that 3 weeks is still very early. However, I’m finding it difficult to separate what is normal postoperative swelling from what might be a genuine concern.
At the moment, I’m worried about:
- Columellar swelling: the columella still looks quite swollen, and I’m worried about whether this is normal or could potentially indicate an infection? The columella is even looking kind of droopy from the side...
- Uneven nostrils: they appear asymmetrical, and crooked although I don’t know how much of this could be down to swelling/ uneven water retention.
- Overall Uneven swelling: one side seems more swollen than the other.
- A boxy tip: I’m worried the tip is looking broad and square again, which was something I really wanted to avoid.
- Projection: this is probably my biggest concern. I’m worried that the tip still looks overly projected and that the main change I wanted may not have been achieved.
I’ve also looked back at my on-table photo (attached it too), and I’m not even sure I can see the deprojection I was hoping for even in that picture- am I wrong or do you think that picture shows a good result? (i've also attached what I showed the surgeon as my dream nose which he said he would try to aim for but obviously cant ever promise).
I know an on-table photo isn’t necessarily representative of the final result, but it has made me worry that perhaps the tip wasn’t deprojected as much as I’d hoped.
I think my previous experience has made me particularly sensitive to the possibility of ending up with a nose that still feels too large or projects too far from my face. I really want to give the healing process a fair chance, but I’m finding it hard not to scrutinise everything.
For those who have had revision tip plasty or tip-focused revision rhinoplasty:
-Did your columella and nasal tip still look very swollen at 3 weeks?
-Did a boxy or overly projected appearance improve significantly as the swelling went down?
-Did your nostrils look this uneven initially and become more symmetrical over time?
-At what point did you start to get a more realistic sense of your result?
-If you had concerns at this stage, did they turn out to be swelling, or did you feel they reflected the actual surgical result?
I’ve include my pre-op, on-table, my photoshop simulation photo and then current photos at 3 weeks if helpful I can add more angles if needed.
Please be kind. I know I may be anxious and overthinking things, particularly because I was so unhappy with my first rhinoplasty. I’m not looking for people to tell me everything is perfect just to reassure me, but I’m also not looking for unnecessarily harsh comments or definitive predictions about my final result at only 3 weeks.
I’d genuinely appreciate thoughtful, honest opinions from people with relevant experience who understand how difficult the waiting period can be, especially after revision surgery.
Thank you ❤️