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Post Rhinoplasty: Why Does my Nose Look Bigger Than Before Surgery?

i had an open rhinoplasty 1 month ago and im so worried and upset about the results the tip looks really big and my profile looks really long! longer than it was before surgery is this normal?? can someone please give me some advice???

Doctor Answers 11

Post Rhinoplasty recommendation

One month is only the beginning of the healing process. There can be excessive swelling for months and you have to have patients and give your nose time to heal. The healing process will take one year to reach the final results. You need to continue to have checkups with your plastic surgeon to discuss your concerns and the present instructions from your doctor. I believe that it is essential to discuss your concern with your doctor because he is the one that performed the surgery and has the understanding of what was done. Seeking a second opinion is fine but make sure you have your surgery records with you so the attending doctor is familiar with your case.


Mexico Plastic Surgeon
4.0 out of 5 stars 20 reviews

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Still swollen

In general, swelling after rhinoplasty takes months and months to fully resolve, and it's apparent that your nose is still quite swollen. You should wait at least a year before considering revision rhinoplasty.

Postoperative swelling after rhinoplasty

Persistent nasal tip swelling can be one of the most frustrating consequences of undergoing a rhinoplasty!  But fear not, the edema (swelling) eventually subsides, giving you a more refined appearance to the nose.  Due to the fact that your nose on the preoperative profile view was slightly flat; therefore, your surgeon had to "build up" your nose. Your nose will achieve its final appearance around 1 year.  If you are still unsatisfied, then relay your concerns to your plastic surgeon and they will devise an appropriate plan.

Too early to get the final results

Thank you for your question!

It is understandable that you are concerned especially with the large nose tip. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that swelling takes time to subside as it masks the results of your surgery.

With the pictures posted, the lack of surgical details and the inability to perform a physical exam it is not possible to provide you with a definitive medical answer.

It is important to keep in mind that it is early to pass a judgment. Usually, a year is required before formulating how your nose will be. Even then, your nose will keep shaping itself and to complement your face for better results in the years to come.

My best recommendations at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling resolves, more definition and shape will be achieved and you should be happier with the results.

Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.

Congratulations on your surgery and please remain positive!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 157 reviews

Nose looks larger 1 month after Open Rhinoplasty

I can tell you that your nose can be quite swollen 1 month after an Open Rhinoplasty, so don't panic quite yet.  I would ask your surgeon, if the bridge was reduced and if the tip was thinned as it's hard for me to know what was done during your Rhinoplasty.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Your nasal proportion has changed.

Noses look good because they have shape (created by the underlying cartilage and bone, not the skin), and because they are well--balanced--proportionate. Your surgeon has reduced your bridge and tip so that your soft tissues now have less support and less shape.  That is why reduced noses can look larger than they did before surgery, and why augmentation can give noses more shape and reduce apparent nasal size.  It may seem counter-intuitive but the principle always holds.  Reduction does not solve all nasal problems. Once things have healed, you may benefit from a secondary correction.

 

Your bridge line now begins lower than it did before surgery.   Thus your profile proportion has changed--making your tip (also rounder than before) look larger.  It isn't larger, but the same skin is now distributed and supported differently.  I wish you well.

Mark B. Constantian, MD, FACS
Nashua Plastic Surgeon
4.5 out of 5 stars 23 reviews

Nose Looks Bigger 1 Month Post Rhinoplasty

The nose may look bigger 1 month after surgery secondary to temporary swelling, especially in a man with thick skin. This should improve dramatically over the next several weeks and then more gradually for 10-12 months.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Nose looks larger after surgery

There can be quite a bit of swelling after surgery, especially if you have thicker skin, that can make your nose look even larger than it was before surgery. It will take time for your final result to take shape (at least a year). Give it time.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

How long rhinoplasty swelling would last?

What you are experiencing is normal post rhinoplasty anxiety. Swelling after a rhinoplasty can last for up to a year.  One month after rhinoplasty, you should see clear improvements.  Long-term results can take a year or more to appreciate due to swelling.  This is the hardest part for the patient, because it takes patience.  Give it time and follow up closely with your surgeon.  Good luck and good healing. Dr. Kevin Sadati

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 103 reviews

Swelling after rhinoplasty

It is still pretty early for you to be overly concerned about the swelling.  It generally takes some time before you can really appreciate the final shape.

Malik Kutty, MD
Sugar Land Plastic Surgeon
5.0 out of 5 stars 15 reviews

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.