After open rhinoplasty, approximately 80% of the swelling resolves within the first two weeks. The remainder takes months to completely dissipate, particularly in the tip. If the fullness, however, is firm, it may represent scar formation under the skin (that would warrant a steroid injection at about this time) or the top of the septum that was not removed during surgery. Fullness above the tip is know as a pollybeak deformity and the most common cause of this is inadequate reduction of the septal cartilage that makes up the lower part of the bridge.
Hope this helps.
Best wishes,
Dr. Ahn




