Rhinoplasty Revision on tip

I had a rhinoplasty in 2013, I was left unhappy as I feel I have a large tip that hangs low with the top of my nose removed to leave a swoop. I originally thought it was swelling at the tip however, after years my tip never became smaller. I'm currently looking at having a revision rhinoplasty to fix the problem. I would like if my nose tip could be refined. How do I go about fixing the problem and is my nose tip a lot of work? Kind Regards

parisandlondon84 August 8th, 2016 QLD

  • Answer
    Dr. Raymond Goh

    Raymond Goh

    123 answers

    Plastic Surgeon
    Queensland, Australia

    Hi Parisandlondon84.
    Thank you for posting your questions and photos. I am sorry to hear that you have been unhappy with the result of your rhinoplasty. It is difficult to ascertain the true shape and appearance of the tip based on lateral photographs alone. A front view would be helpful. It would also be helpful to know what your nose looked like before the procedure, what your outcome goals were, and what was actually done in surgery.
    You are correct in stating that any swelling post surgery should have resolved by now. From what I can see, you may still have some fullness above the tip. This can be due to several causes, including insufficient septal cartilage reduction, excessive radix reduction, excessive scar tissue present in the supratip region, insufficient tip projection, and lack of tip support.
    Have you had a chance to follow up with your original surgeon to voice your concerns and to see if anything can be done to rectify things? This would be my first suggestion. Seeking a second opinion can certainly be considered based on you and your surgeon's discretion. 
    All the very best.
    Dr Ray GohValley Plastic Surgery