Eva
Thickening of the skin above the tip can happen after rhinoplasty especially if you had thicker skin in this area before surgery, a large hump was removed and excessive scar tissue forms. The swelling in the morning is due to vascular congestion. Kenalog injections, if done properly, can help thin this area even after 5 years. It is important that these injections are not too concentrated and are not done too superficially.
It is also possible that not enough cartilage or not enough of the fat layer under the skin was removed during the first operation. In this case, a second rhinoplasty procedure would be the best course of action.
I recommend that you seek a Board Certified Plastic Surgeon who is comfortable with secondary rhinoplasty procedures.
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