My Swelling Has Never Gone After Rhinoplasty???

Hi Tara,

While problems with lymphatic circulation, changes in blood flow, and long term scarring of the layers deep to the skin can be related to what you are experiencing, another potential cause has to be considered.

You mentioned that your nose is "short with no tip".  This implies that an aggresive reduction of the structural framework of the nose has been preformed.  The end result of this may be a refined and "smaller" appearing nose, but in caes of excessive reduction, the skin and soft tissue cover of the nose may be left deflated.

This deflation can result in more visible variation in the skin resulting from the numerous causes of facial skin swelling such as allergies, skin sensitivity to environmental irritants, sun exposure, sinus conditions and so on...

I would suggest an examination with a rhinoplasty surgeon in your area to asses weather a revisional procedure to replace lost volume in the nose may help to have a more acceptable appearance as well as providing a strech of your skin to help even out the normal variations in skin and tissue swelling in your nose.  While there may be some swelling with a revision surgery, the end result may be therapeutic for the problem you are experiencing.

Good luck,

Dr. Torkian - Lasky Clinic, Beverly Hills

The fluctuations that occur in the nose after the healing process are related to fluid retention and scar formation. This is made worse by thick olive oily skin, salt intake, altitude air pressure changes, and hormonal changes. Occasionally, cortisone shots are placed in the thick oily skin, which can help manage the swelling and fluid retention.

It is very unlikely that the swelling is directly related to the surgery.  However, your description of your nose leads me to believe that you had a reduction rhinoplasty involving modification of the cartilaginous framework.  The skin can only contract so much around a reduced framework.  Therefore, normal fluctuations in facial skin tone from dependent blood flow, dietary influences, or perhaps lymphatic flow, could be magnified somewhat.  You should see an experienced revision rhinoplasty surgeon in person to evaluate your nose.