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When Does Asymmetry After Rhinoplasty Become Less Pronounced?

I am 18 days post-op after a septo-rhinoplasty. My hump was removed and my tip was narrowed and lifted. My swelling is gradually decreasing by the day, but my nose is still asymmetrical, and is leaning to the right. Basically, one of my nostrils looks higher than the other, and it's noticeable. I know this is a common complaint after surgery, as the swelling subsides at different rates on either side, but when can I expect my nose to look symmetrical?

Doctor Answers 2

Too soon for permanent asymmetry after a rhinoplasty

Thank you for your question!

It is understandable that you are concerned. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that swelling takes time to subside as it masks the results of your surgery.

It is important to keep in mind that it is early to pass a judgment. Usually, a year is required before formulating how your nose will be. Even then, your nose will keep shaping itself and to complement your face for better results in the years to come.

My best recommendations at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling subsides, more definition and shape will be achieved and you should be happier with the results.

Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.

Congratulations on your surgery and please remain positive!

Ali Sajjadian, MD FACS


Orange County Plastic Surgeon
5.0 out of 5 stars 166 reviews

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Asymmetry at 18 days

It depends - if the asymmetry is related to swelling it may get better with time, but if the structural framework of the nose is asymmetric it will not improve and may in fact get worse at swelling subsides

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 164 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.