This case is full of information in many ways. First, she is VERY early from rhinoplasty treatment-only several weeks. She is from out of town. You can see in her pre-operative photos that she has a hump on her nose and her nose is also long. Her tip is sharp and it dips at the end as well. Her tip cartilages are quite wide and this blunts the appearance of her tip. Her nose is a bit sharp for her face and larger than it needs to be. It’s unrefined for such a beautiful face.
The nose takes quite some time to settle after surgery and nose job recovery (months to years in fact). I reduced her hump and refined her tip and made internal adjustment to the bone and cartilages of her nose that is typical. Problem is that we are early with these photos so the swelling is substantial and we are not able to fully appreciate the changes. This will happen over time. If your nose looks “perfect” right out of surgery is it quite likely that too much was done and this will only lead to problems two years later when all the swelling subsides. This is why expectations and patience are important so a happy patient surfaces from their nose work months and years down the line.
It is not uncommon to tape the nose for several weeks after a nose job or for me to even inject some steroids into the nose to assist the normal healing process. I want to take advantage of the healing process and make it work for me and my patient. One problem that is not uncommon is what we call “supratip fullness” or polybeak condition. This is residual fullness in the area just above the tip of the nose that compromises the appearance of the tip complex. Taping and steroids can help with this appearance. Sometimes your surgeon may need to deal with this area when the nose has healed two years later with a small procedure under local anesthesia. Nasal “touch ups” are to be expected in up to 15% of noses. Perfection is illusive but sometimes small irregularities can be improved which is a good thing for patients.
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