Post Rhinoplasty: Will my Nose Ever Go Back to Normal? Doctor Answers, Tips
Rhinoplasty: Q&A
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Post Rhinoplasty: Will my Nose Ever Go Back to Normal?

I had an open rhinoplasty 7 months ago...when the cast was taken off, my nose looked like the first picture, then it has been looking like this for the last 6 months.

I'm frustrated that it will never go back to normal. I have had cortisone and kenolog shots, and nothing works.

I got a silicone implant on my nose now, so I dont know if that is what is causing so much swelling. My nose didnt look like this before, what happened? Is it going to get better or should i get a revision? Thanks

5 Doctor Answers | Asked by AngelaSims
+4

Rhinoplasty implant and swelling

Your pictures indicate that you had a reasonable result immediately after surgery and subsequently have had swelling that makes the nose uniformly larger. A variety of factors can cause that, including low-grade infection, inflammatory reaction, fluid collection, and simple post-op swelling. Your surgeon will help determine what it is and what can be done. However if you were pleased with the result early post-op, it's unlikely that the implant size or shape was wrong. more
+4

Issues after Rhinoplasty

From the photos, of your nose, it looks like you may have an L-shaped silicone nasal implant.  This would explain why, after 7 months post-Rhinoplasty, the nasal bridge is wide (the silicone implant is wider than your pre-op nose) and your nasal tip is larger than before the Rhinoplasty.   The tip is wider because the short vertical section, of the L-shaped implant, is literally placed between the two sides, of the nasal tip cartilage and as such adds width to the nasal... more
+3

The swelling of your nose appears to be related to your silicone nasal implant.

I read your concern and reviewed your photos. Your excessive swelling 7 mos. after rhinoplasty with silicone implant could indicate possible infection. You may want to ask your surgeon about a 2 week course of antibiotics to see if that might help you. If antibiotics and steroids fails to resolve your swelling, you may need to discuss implant removal with your surgeon. I hope this is helpful for you. Regards from NJ.

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+2

Swelling after silicone

It appears that you are having a reaction to the implant. It is unlikely to be infected if it has been going on for several months but it is possible to have a reaction to any implant in the nose that can cause pain, swelling, etc. At this point, your nose should be getting smaller, not larger. I would follow-up with your surgeon, and, if this does not produce a satisfactory answer, get a second opinion from an experienced rhinoplasty surgeon.
+2

Post Rhinoplasty: Will my Nose Ever Go Back to Normal?

This is not a normal result with implant placement. It looks like you have swelling secondary to inflammation. This could be seroma or infectious process. Need to have this evaluated ASAP.
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