Rhinoplasty: Q&A

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Can Asymmetry over a Year After Rhinoplasty Be Due to Swelling Or Is This My Final Result?

I had a closed rhinoplasty procedure done 15 months ago. I don't think any grafts were used but the bones were broken due to a deviated septum. I had the tip refined but am still noticing a hard bulge on the side that I sleep on leaving my tip looking and feeling asymmetric. They gave me a steroid shot around 4 months after the procedure which helped but worsened allergies post-op contributed to prolonged swelling. Am I not being patient enough or could this be the final result?

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swelling asymmetry 18 months post-op final result

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9 Doctor Answers | Asked by nosey_girl in Long Beach, CA

Doctor Answers (9)
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Rhinoplasty

This far out what you see is what you got and it should not change much more. Placing shaping sutures or grafts in the tip in a closed fashion can be problematic and inaccurate. You need to see your original surgeon for possible revision. If that does not workout for any reason you need to get copies of your original operative report/photos so that other prospective surgeons can know what you started with, what you had done, what you ended up with and then be able to plan appropriate... more

When to get concerned after Rhinoplasty

As a general rule, cosmetic surgeons usually feel that no significant changes occur after a year. In your case, if the bump or asymmetry is unchanging, a visit to your doctor is in order. If the swelling comes and goes, and is related to your allergic congestion, this may indicate no relationship with the surgery, but to allergic inflamation causing turbinate enlargement which could affect the external appearence of the nose. So, consult with your surgeon, and if he does not... more

Results 15 Months after Rhinoplasty

There wiill be very minor changes or improvement 15 months after your rhinoplasty. You have been very patient, but it is time to discuss your appearance with your surgeon and/or get a 2nd opinion regarding the possible need for revision surgery.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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Rhinoplasty Result Stable After One Year

It would be fair to say that at more than one year after surgery you are seeing the final rhinoplasty result. If there are noticeable asymmetries or irregularities, you will need to consider revisional surgery for any further improvement.

Rhinoplasty post-op

The nose is a very sensitive area. It can take a very long time for the nose to soften and for the swelling to dissipate. This can take a year or more in some patients.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Rhinoplasty results are permanent at1 year.

Rhinoplasty results are pea ent at 1 year. See your doctor about your result and possible revision.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Swelling

At one year you are probably close to complete. I suggest you talk to your surgeon about your concerns. Also, second opinions might be in order but, be careful and pick people with extensive experience

David A. Bray, Sr., MD

6 reviews

Los Angeles Facial Plastic Surgeon

drbray.com

Rhinoplasty swelling can last up to a year.

Rhinoplasty swelling can last up to a year. After a year any asymmetries or areas of fullness are the final result of the surgery. After a full year it is also safe to proceed with a revision rhinoplasty.

Can Asymmetry over a Year After Rhinoplasty Be Due to Swelling Or Is This My Final Result?

I have performed Rhinoplasty, for over 20 years and IMHO it's most likely that at 15 months post Rhinoplasty you have the final results +/- say a couple of percent.

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