It has been 45 days since my rhinoplasty, but my nasal tip is still round. What should I do?
Dec 31, 2024
Source: Cainiu Health
Dr. Han Xuefeng
Introduction
In general, if the nasal tip remains round 45 days after rhinoplasty, it may be caused by individual differences in recovery capacity, persistent tissue swelling, scar hyperplasia, implant displacement, or inadequate shaping of the alar cartilage. Under a physician's guidance, treatments such as general care, medication, or surgical intervention may be considered. Postoperative care should strictly follow medical advice.
Generally, rhinoplasty refers to nasal augmentation surgery. The reference price for rhinoplasty typically ranges from 3,000 to 50,000 yuan per session, and improvement is usually noticeable 1–3 months after surgery. If the nasal tip remains round 45 days post-surgery, it may be due to individual differences in recovery ability, persistent tissue swelling, scar hyperplasia, implant displacement, inadequate shaping of the alar cartilage, or other factors. Treatment options, under a physician's guidance, may include general care, medication, or surgical intervention. The specific causes are analyzed as follows:
1. Individual differences and recovery capacity
There are differences in postoperative recovery abilities among individuals. Some people have relatively slower metabolic rates, resulting in a longer tissue repair and remodeling process, which may prevent the nasal tip from returning to its desired shape within 45 days after surgery. Patients can wait patiently for recovery while maintaining a healthy lifestyle, such as balanced nutrition and sufficient sleep, to promote bodily recovery.
2. Persistent tissue swelling
Rhinoplasty is an invasive procedure, and local tissue inflammation and swelling commonly occur after surgery. During the recovery phase, swelling may persist for a relatively long time, especially in the nasal tip area, where the tissue is looser and more prone to fluid accumulation, resulting in a rounded appearance of the nasal tip. This may also be accompanied by symptoms such as tightness or mild pain in the local skin. Local heat application can help improve blood circulation and reduce swelling, but patients should also avoid external impacts to the nasal area.
3. Scar hyperplasia
Excessive scar tissue may develop during wound healing after surgery. Hyperplastic scars can affect the shape of the nasal tip, making it appear round and blunt. Symptoms may include hardened or itchy skin in the affected area. Treatments such as topical application of compounds like heparin sodium and urea gel, mucopolysaccharide polysulfate cream, or asiaticoside cream may be used under medical guidance.
4. Implant displacement
If an implant was used for nasal augmentation, displacement may occur during the postoperative recovery period due to external forces, improper placement of the implant, or changes in the surrounding tissues. Implant displacement can alter the original nasal contour, leading to an abnormal nasal tip shape. This may be accompanied by symptoms such as nasal deviation or localized pressure discomfort. Surgical repositioning of the implant under medical guidance may be necessary to restore the normal nasal shape.
5. Poor shaping of the alar cartilage
The alar cartilage plays a key role in supporting the nasal tip. If the alar cartilage is improperly handled during surgery or fails to achieve the desired shaping effect, the nasal tip may appear less refined and rounded. This may be accompanied by an indistinct tip highlight or pain. Revision surgery may be required to repair and reshape the alar cartilage.
Patients should strictly follow medical advice for postoperative care and avoid touching or squeezing the nose arbitrarily. A light diet should be maintained, and consumption of spicy or irritating foods should be reduced to avoid exacerbating local inflammation.
