After getting the splint off, my nose is getting bigger after Rhinoplasty?

Initially the nose does look smaller as soon as the cast comes off because of the compression the cast places on the nasal bridge. This does not allow fluid retention in the nasal sidewalls while the cast is in place. As soon as the cast comes off, fluid retention, lymphatic edema occurs over the tip and the bridge, which takes a full year to settle down and go away. It tends to take longer in thick-skinned olive and oily skinned people. If it happens in the tip, cortisone shots can be performed routinely to make the lymphatic edema go away faster.

It’s not unusual for patients to note swelling when their nasal splints are removed.  The presence of a splint molds the nasal bones in place following rhinoplasty.  It also helps to diminish swelling.  For these reasons it’s not unusual for the nose to suddenly swell when splints are removed.  It’s important to realize that this swelling is normal and resolves with the passage of time.

            Most patients will note significant swelling for about two to three weeks following surgery.  After two weeks, most patients are able to resume their normal lives and go out in public.

            Swelling will persist in most patients for at least one year following surgery, with the nasal tip being the last site to experience resolution.  In the immediate post-operative period, nasal splints, elevation of the head and ice can be used to minimize swelling.

            It’s important to maintain good communication with your plastic surgeon.  Your surgeon should be able to reassure you and alleviate your anxiety.

The size of your nose is most likely affected by swelling at the moment. Swelling is common in the months after surgery, and will gradually subside. Keep your head elevated to keep swelling to a minimum. You should sleep with your head slightly elevated as well.