Dr. Thomas BuonassisiFacial Plastic Surgeon · 8 West Clinic, Vancouver
Published July 2026·Medically reviewed by Dr. Buonassisi
KEY TAKEAWAYS — IN THIS VIDEO
<ul><li>Rhinoplasty results at two months may still show some swelling, with final results taking up to a year.</li><li>Adjusting the nasal tip and correcting asymmetry are common goals in rhinoplasty to enhance facial harmony.</li><li>Rhinoplasty involves complex anatomical adjustments, requiring a bespoke approach tailored to each patient.</li><li>The emotional journey of rhinoplasty includes overcoming initial nerves and building trust with the surgeon.</li></ul>
Dr. Buonassisi · Two Month Rhinoplasty Follow-up Results
Dr. Thomas Buonassisi, FRCSC, ABFPRSAuthor · Reviewer
Facial Plastic Surgeon · Founder, 8 West Clinic · Vancouver, BC
Dr. Buonassisi is a dual board-certified facial plastic surgeon with over 25 years of experience in facial surgery exclusively. He has performed over 2,500 rhinoplasties and is the founder of 8 West Clinic in Vancouver. All content in the Knowledge Hub is written or reviewed directly by Dr. Buonassisi.
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<h2>What to Expect at a Two-Month Rhinoplasty Follow-up</h2><p>At the two-month mark after rhinoplasty, patients typically have healed significantly, though some swelling may still be present. In this follow-up, Dr. Thomas Buonassisi, MD, FRCSC — Specialist in Otolaryngology – Head and Neck Surgery, with a practice limited to facial plastic surgeries — discusses the progress of a patient named JT. JT's case involved several adjustments, including tip refinement and correcting nasal asymmetry.</p><p>Dr. Buonassisi emphasizes that while the patient is mostly healed, subtle swelling can persist. This is normal and expected, as the final results of rhinoplasty can take up to a year to fully manifest. JT's follow-up demonstrates the importance of patience and ongoing care in the recovery process.</p><h2>Addressing Nasal Tip and Symmetry in Rhinoplasty</h2><p>In JT's case, one of the primary goals was to adjust the nasal tip to achieve a more balanced appearance. Dr. Buonassisi aimed for a 95-degree angle between the lip and the tip, ensuring that the change was significant yet natural-looking. This adjustment was crucial to prevent the tip from hanging down, especially noticeable when the patient smiles.</p><p>Additionally, JT's nose was slightly crooked before surgery. Dr. Buonassisi corrected this by straightening the nasal bridge, enhancing facial symmetry. These changes highlight the intricate planning and precision required in rhinoplasty to achieve both aesthetic and functional improvements.</p><h2>Understanding the Complexity of Rhinoplasty Procedures</h2><p>Rhinoplasty is often more complex than patients anticipate, involving detailed anatomical adjustments. JT's surgery required careful consideration of multiple factors, including the nasal tip position and bridge height. Dr. Buonassisi's approach underscores the bespoke nature of each procedure, tailored to the patient's unique anatomy and goals.</p><p>For JT, the surgery not only improved the appearance of his nose but also contributed to a more harmonious facial profile. This case illustrates the importance of selecting a surgeon with extensive experience and expertise in facial plastic surgery.</p><h2>The Emotional Journey of Rhinoplasty</h2><p>Undergoing rhinoplasty is not just a physical transformation but an emotional journey as well. JT expressed initial nervousness about the procedure, a common sentiment among patients. Dr. Buonassisi's ability to reassure and guide patients through the process is a vital component of the surgical experience.</p><p>JT's positive feedback highlights the significance of a supportive surgeon-patient relationship. The trust and communication established between Dr. Buonassisi and his patients are essential for achieving satisfactory outcomes and ensuring a smooth recovery process.</p>
Full Transcript
So we're at JT's follow-up visit. We did a rhinoplasty for him two months ago. He's pretty much all healed now. I think he's still a little bit swollen. But I enjoyed working with you. You were a little nervous about doing this because you're not the kind of guy that cares that much. There was something about your nose you didn't love. Fifty seven years old and never thought I would do this, but I did. The first appointment, I'll be happy sold. It was a little bit of a complicated surgery. There was a few things we had to do. Your tip needed to come up a lot, but we didn't want to lift it up so much that it would look unusual on you. So we tried to get about a ninety five degree angle between your lip and your tip, I think that's what we have. Your nose was also crooked, and I think when we looked at your before photos today, you realized, oh my god, I forgot that it was off to the side. So we've made it a little straighter on the front. We took a bit of the bridge height down, but I think the main event really was getting your tip to not hang down so much, especially when you smile. Very happy with your result. I think you're doing well. Thank you so much. I really appreciate it. My pleasure. It's been a been a simplistic, really scary about the actual surgery the day of, and you calmed me down, it was just a very easy process, and I really appreciate it. Awesome. Thank you.
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