Nose Looks More Bulbous and Round After Rhinoplasty
- Asked by PulchraPuella in US
- 5 years ago
I had an open rhinoplasty three weeks ago, and I'm concerned about the current results. My goal for the surgery was to remove the side and front humps around my eyes and raise the tip. While I'm very satisfied with my new profile, and the bone is much slimmer around my eyes, the bottom 2/3 of my nose seems much more bulbous, and my tip appears way rounder (maybe kind of droopy too) than even before the surgery. Can I expect this to adjust with time? Is this still swelling? I don't regret having had it done, but I just hate that after all this, I still feel self conscious about my nose. Thanks!
Time is your friend
It has been about a month since you posted your question. Although I typically advise my patients that it may take 6 months to achieve your final rhinoplasty shape, usually at about 1-2 months my patients are 75% of the way there.
You have likely noticed significant improvements in the swelling. This should continue to improve over the next 2 -3 months.
Swelling of the Nose After Open Rhinoplasty
The swelling of the nose after open rhinoplasty takes longer to settle than swelling after endonasal (internal incision) rhinoplasty. This is because the entire skin-soft tissue envelope was elevated off of the underlying cartilage and bone. It takes an extra few weeks for the swelling to resolve, and most of it accumulates in the tip. You should expect improvement with time. Do stay in close contact with your surgeon, and let him/her know your concerns. Good luck and be well.
Its way too early to worry!
An open rhinoplasty typically results in a great deal of tip swelling. At three weeks out, your concerns are most probably related to postoperative swelling. Ask your surgeon about a taping regimen to help mold your tip and elevate it. It is a very effective therapy. Rarely, your surgeon has to inject a little steroid if the swelling seems prolonged, but not usually at three weeks postoperative. Hope this helps. Good luck with your nose.
Recent Rhinoplasty Reviews
Bulbous Tip 3 weeks after Rhinoplasty
It will take some time for the swelling to dissipate. I would wait a good 4 to 6 months. If by that time you still dont like what you see, you may want to ask your surgeon what he or she suggest. You also might want to get a second opinion.
Web reference: http://www.rhinoplastysurgeonnewyork.com
Swelling and Changes after Rhinoplasty
Thank you for your question. The reality with rhinoplasty is that swelling takes weeks to months to resolve completely. While the majority of the swelling (for a primary case) will resolve in the first three or four weeks, the rest may take up to 6 or 9 months. And the final result, after all the settling, etc., is generally between 9 and 12 months. Along the way, massage or even small injections of a steroid can help with swelling. Please stay in close touch with your surgeon, and rest assured that this is normal. Best of luck!
Healing after rhinoplasty
Three weeks after rhinoplasty surgery one can expect significant swelling still present at the tip. In some patients assigned can be so significant that it appears more bulbous and round after surgery. During this time, is important to keep your follow-up appointments with your surgeon as a surgeon may recommend steroid injections to help control some of the swelling.
It takes time for the nasal tip to improve
After a rhinoplasty, it may take 12 months or more to see the final results of tip modification. The initial swelling should be gone within 3 weeks, but the swelling due to healing will take much longer. During this time, skin will slowly contract and the body will fill the area under the skin with healing tissue that hides the underlying changes. Although major adjustments can be seen immediately, the healing tissue must undergo a maturation process that eventually makes it thin and soft - revealing the final result.
If your profile and dorsum look better, than that is great. The lower third of the nose always takes a long time to settle down. This can take months. Give it time. In all likelihood it will look better over the next few months.
Rhinoplasty Experts advise waiting one year for final rhinoplasty results
Swelling may be more severe after an open rhinoplasty vs. a closed rhinoplasty. Nonetheless, a surgeon with enough experience in rhinoplasty would advise you to wait approximately one year to see the final results.
The final shape of your nose will be determined by the thickness of your skin, the underlying structural support, and the position of the cartilage.
Although swelling is an important factor, you will generally be able to see early signs of your longterm account in about one month.
Tip swelling may take a year to completely recede
We pioneered open rhinoplasty in the US more than 30 years ago. We said then that you trade outstanding exposure for a longer time of tip swelling--so, it will go down each month.
The length, however, probably won't change. You should discuss this with your surgeon.
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.