Nose looks more bulbous and round after Rhinoplasty

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!

Nose looks more bulbous and round after Rhinoplasty
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8 answers to “Nose looks more bulbous and round...”

A: Post-op Rhinoplasty

Steven Wallach, MD

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.

A: Rhinoplasty Experts advise waiting one year for final rhinoplasty results

Raffy Karamanoukian, MD

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... more

A: Time is your friend

Steven H. Williams, MD

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... more

A: tip swelling may take a year to completely recede

Toby G. Mayer, MD

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.

A: Swelling of the Nose After Open Rhinoplasty

Michael A. Persky, MD

Hi Gorgeous, 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... more

A: Open Rhinoplasty swelling can last for up to 18 months.

Robert M. Freund, MD

You look great and swelling of the tip after open rhinoplasty can last for up to 18 months. Relax and watch the healing take place.

A: It depends

Min S. Ahn, MD

After open rhinoplasty, approximately 80% of the swelling resolves within the first two weeks. The remainder takes months to completely dissipate, particularly in the tip. If the fullness, however, is firm, it may represent scar formation under the skin (that would warrant a steroid injection at about this... more

A: Its way too early to worry!

Manish H. Shah, MD

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... more

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