Why So Much Fluctuation in Swelling After Rhinoplasty? Doctor Answers, Tips
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Why So Much Fluctuation in Swelling After Rhinoplasty?

I had a revision rhino approx. 1 mon. ago. When the cast came off from the revision, my nose looked amazing, very happy with the results. My nose now fluctuates in swelling it seems like by the hour! Sometimes it looks wonderful (especially after I tape) and then other times, large and bulbous. I know that swelling can persist for a year or more, but why so much fluctuation? Should I expect the final result to be the bulbous shape I see some hours or the small defined shape I see other times?

6 Doctor Answers | Asked by Cleveland3286 in Cleveland, OH
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Swelling Fluctuations Post Revision Rhinoplasty

Your nose looked good when the cast was removed because the tape and cast did restrict the swelling. After removal of the nasal dressing the swelling frequently gets worse but the frequency and severity will decrease as healing progresses. Temperature, diet, and activities will influence the amount of swelling.
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Why So Much Fluctuation in Swelling After Rhinoplasty?

Hi, Revision rhinoplasty tend to have a little more swelling post-operatively. This can go on for up to a year. The tip of the nose is a very confined space, so fluid and blood is not resorbed as quickly as we would like to see.
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Fluctuations in swelling after rhinoplasty

As noted by the other responding physicians it is not uncommon for there to be ups and downs with nasal swelling after surgery. For up to a year after surgery there are lots of inflammatory cells in the wound bed that make the nasal tissues a little unstable from a swelling perspective. Over time the swelling oscillations will gradually diminish. Keep your head elevated when you sleep to minimize morning swelling.

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Swelling after a rhinoplasty versus a revision rhinoplasty...

A revision rhinoplasty often has less swelling then a first time rhinoplasty. However, times of the day, the amount of activity and the position of your head relative to the rest of your body can all affect the amount of swelling you have at any given time. One month is still early in the healing stage, most of the swelling typically resolves in 2 to 3 months, depending on the patient.
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Fluctuation in swelling

Fluctuations in swelling of the nose is extremely common in the first few months can be caused by a number of factors Salt intake in diet Temperature (the hotter, the more swelling) Activity (exercise increases swelling) Fluid retention (i.e. menstrual)
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Swelling fluctaution after surgery

There's not one specific reason why swelling fluctuates after surgery. After secondary surgery it takes a bit longer for the lymphatic system to reconnect because of all the previous scar tissue. Also salt/fluid balance can makes big changes. Finally, head position can affect the swelling. Keep following your surgeon's instructions.
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