I am 20 months post open revision rhinoplasty. This was a complete re-do as I needed extensive correction. The results are overall great and I will go weeks with a very slim and refined nose. However, I stil have flucuating swelling during which times my nose looks puffy and I can feel that my nose is squishy with fluid under the skin. I also feel congested during that time. Will this ever end? It changes day to day or sometimes within the same day. Please advise...
How Long Does Swelling Really Last After Rhinoplasty?
Doctor Answers 5
How long does swelling really last after rhinoplasty?
Swelling after rhinoplasty lasts about 6 months. If the skin is thick or its revision surgery, the swelling can last longer. Two weeks after surgery about a third has resolved. At a month, about half the swelling is gone, and at two months, 3/4 has disappeared. After the swelling has resolved, there are still subtle changes for the following 6 months to a year more. Minor settling and shifting occurs, like a house settling down on its foundations. Day to day flucuations are noticed by many people, but these peeter out over a few years, becoming less frequent and less pronounced. For the vast majority these have resolved by 2 years, although I've had patients comment on them as long as 4 years afterwards.
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Swelling after rhinoplasty
ususally one year
so your congestion may be allergies etc
after two surgeries the lymphatic drainage may be altered - thus you may be prone to occasional bouts of swelling
consider avoiding grians/dairy and reducing salt (dont embark on any diet without clearing it with your your md)
How Long Does Rhinoplasty Swelling Really Last
In general, we tell patients that there may be significant changes over a year following rhinoplasty surgery, but in patients with thick skin or those recovering from augmentation or revision surgery this will sometimes take 18 months or more. If your surgeon is geographically desirable try to let him see you at good times and bad times. I know it's been a long time, but I recommend that you continue to be patient. I occasionally see a rhinoplasty patient that I did 25-30 years ago with subtle changes since they were last seen 5-10 years after surgery.
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Swelling after rhinoplasty
Conventional wisdom usually describes swelling after rhinoplasty for up to one year. Revisions are possibly even longer. I would suspect that if you are now 20 months out, it's no longer surgical swelling. Meaning the waxing and waning appearance is due to other issues, like water retention from exercise, specific activities, allergies, food intake, etc. If you had a lot of reconstruction done, the skin may be destined to behave abnormal at times, as the trauma might have disrupted the lymphatics that drain fluid. Similarly, you might have thick skin that tends to act full or squishy , because it could not fully shrink wrap to your new cartilaginous structure. The skin can sometimes be the limiting factor for rhinoplasty, especially in revision and reduction cases.
No real treatment except more time.
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