At 4 days following rhinoplasty there is Still a tremendous amount of swelling present. In fact, the peak swelling likely occurs at 3 days. Furthermore, most surgeons will place a splint on the dorsum which stays in place for the first week. Both of these factors will make it very difficult to determine whether the tip is too up-turned. The nasal form will not stabilize until 9 to 12 months and changes may even occur following that if sufficient structural support has not been built into the nose. At the 3 month point, the vast majority of the swelling will have resolved and any changes that occur afterwards usually do not enhance the aesthetic result. Therefore, by 3 months one can usually tell whether a revision rhinoplasty is necessary.
Mario J. Imola, MD, DDS, FRCSC.