Rhinoplasty: Q&A

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4 Months Post Rhinoplasty: Tip Swelling

I had a rhinoplasty to correct a large dorsal hump and a twisted septum on Dec. 28 2010. I have noticed some swelling going down but my tip seems to be lacking definition and is still quite hard. It was an open procedure.

15 Doctor Answers | Asked by Grand Rapids MI in Grand Rapids MI
+4

4 Months Post Rhinoplasty: Tip Swelling

I have to thanks you for posting the photo series. I agree in part with waiting at least 6 to 9 months following the rhinoplasty operation to allow tip swelling/edema to subside. But based upon my viewing of your photos to me you tip needs additional refinement or a tip plasty. Just my opinion. 
+3

Tip swelling with open rhinoplasty

Tip swelling and stiffness will take at least six to twelve months as a rule after open rhinoplasty. The improvements in softness progress so slowly it can be hard to notice on a daily basis. Love the sunglasses in your photos. Best of luck, peterejohnsonmd
+2

Persistent Tip Swelling after Open Rhinoplasty

Your surgeon did a nice job with your nose. The swelling in the tip will continue to subside with time. When you can wiggle the tip of your nose and it doesn't hurt or is not stiff anymore, then you can start analyzing it. Prior to that time you're still healing. As far as your tip definition, I've seen tips refine over 3-4 years, so I would NOT revise it; your nasal skin looks normal to thick and any revision would not guarantee a thinner tip. Make... more

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+2

Prolonged tip swelling and firmness are normal after open rhinoplasty

Hi, As frustrating as it is, I think you need to be patient a little longer with your results. Tip swelling can be persistent anywhere from 6-12 months following an open rhinoplasty. In addition, it is quite normal for the tip to feel hard at 4 months after surgery. If you are not pleased with the appearance of your tip after a year from surgery, that is when you should start thinking about a revision. Make an appointment with your surgeon to discuss your concerns. Good luck! Dr.Sunder more
+2

Tip Swelling Takes Time

While the profile typically takes on its finished appearance in weeks or a few months, the front view of the tip can often times take years to finalize.  You had an open approach which tends to make tip swelling worse since that incision temporarily removes one of the lymphatic drainage paths. Thick skinned individuals are definitely more susceptible to this problem.  If your skin is porous or oily, you probably have thick skin.  Most thick skinned people who had an open... more
+1

Tip Swelling

Tip swelling can last for up to a year. Occasionally, some careful injection of a cortisone preparation into the tip could help expedite the process. Ask your doctor about cortisone injections.
+1

Swelling after Rhinoplasty

After reviewing your pictures it appears that you achieved a very natural and aesthetically pleasing result from your rhinoplasty.  I understand that you are concerned about prolonged swelling in the tip, but you need to realize that swelling after rhinoplasty surgery takes up to one year to fully resolve.  Over the course of the next 8 months you will continue to see the shape of your nose mature into its final conformation.  In the meantime be patient, and follow up with... more
+1

Tip hard 4 months after Open Rhinoplasty

Open Rhinoplasty causes more swelling in the tip than Closed Rhinoplasty and typically takes 6 months for the swelling to decrease.  Wait a few more months and see what happens at that time.
+1

Tip swelling post open Rhinoplasty

Thank you for posting your photographs. You appear to have a nice natural rhinoplasty result that seems to fit your features well. There is still some residual swelling in the tip and this will dissipate slowly over the next three to six months. Your surgeon will know exactly how refined your tip was done and what your expected result should be. So please confer with your surgeon as well and this should provide some insight to your full recovery period and expected result. Best regards! more
+1

Nasal swelling after open rhinoplasty

Dear Rhinoplasty patient from Grand Rapids, MI Looking at your before and after rhinoplasty pictures, it appears that your doctor has done a good job to remove the nasal hump. The swelling that makes your nasal tip larger will subside over time, usually 6 to 12 months. You need to be patient. Good luck and good healing
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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