22 Months After Rhinoplasty - Tip of Nose Bulbous and Numb

My nose is much narrower now, from the front and that is great. But, 22 months later my profile still shows a bulbous tip and a slight hump. The tip is also very hard and numb. Will this be difficult to revise or touch up?

Doctor Answers (4)

22 months after rhinoplasty - tip of nose bulbous and numb?

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Hello! Thank you for your question! Numbness after any surgical procedure is expected for several weeks to months following. As the nerves to the area are traumatized and will then experience a temporary neuropraxia, a transient loss of nerve conduction. This usually resolves over the next 6-12 weeks, but depending on the procedure performed, sometimes much longer. Typically this should resolve by 1 year. As it goes past this date, the likelihood of the sensation returning is small. However, it can take up to 2 years. If no return from there, it is unlikely to return. It should be discussed that persistent sensory changes may develop following any surgical procedure.

The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Tip Bulbous and Numb 22 Months after Rhinoplasty

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There is nothing you can do about the tip numbness, but this should improve. Most swelling has resolved by 22 months. Consult with your surgeon to decide if a revision is indicated or necessary at this time.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Nasal tip swollen and numb 22 months after nose job

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This is difficult to assess via a verbal description. Firmness and numbess generally improve by 6 months following rhinoplasty. There may be a variety of reasons for your findings. Please discuss with your surgeon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

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Bulbous tip 22 months postop

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Hi,

It sounds like you had a pretty good rhinoplasty. The numbness should have resolved or be resolving. You may want to ask your surgeon to try a small amount of kenelog to the tip to soften it up a bit.

Best,

Dr.S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.