Crooked nose or uneven swelling after Rhinoplasty?

I had Rhinoplasty to "straighten" my nose. I just got my cast off and it is clearly not straight. If a nose looks crooked when the cast is removed one week after rhinoplasty, does that necessarily mean that the nose will be crooked when the swelling is gone? Or could it just mean that the swelling is uneven? I just pray that when the swelling finally goes away that it will reveal a straighter nose than what I am seeing now.

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8 answers to “Crooked nose or uneven swelling...”

A: Need to wait 6 months to a year

By William Portuese, MD - Seattle Facial Plastic Surgeon

Even though it has only been one week since your rhinoplasty surgery, and if it appears crooked, one needs to wait until the swelling has subsided. This could certainly be related to uneven swelling in the nose. One needs to wait at least six months to a year to give any final judgment as to whether the nose... more

A: Rhinoplasty Recovery: Post-Operative Swelling

By C. Spencer Cochran, MD - Dallas Facial Plastic Surgeon

In the first several weeks following a rhinoplasty, the swelling of the nose can be asymmetric. This can give the illusion that the nose is crooked or asymmetric. Post-operative swelling can also fluctuate from day to day on different parts of the nose for the first several weeks. If your nose... more

A: Patients are often suprised when the Rhinoplasty cast comes off

By Andrew Miller, MD - New Jersey Facial Plastic Surgeon

I have a large number of patients that were not happy when they saw the results after the cast came off. Usually it may be because of swelling or they may not be used to seeing their new, different nose. Or possibly some cartilage grafts were used on one side of the nose in an... more

A: Swelling and nose shape after Rhinoplasty

By Steven Wallach, MD - Manhattan Plastic Surgeon

When the splint comes off, there is often quite a bit of swelling. Usually, the nose appears straighter at this point, but not always. You have to give it some time.

A: Nose crooked externally immediately after Septo-Rhinoplasty

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Tiger, It is too soon after your surgery and splint removal to make any judgments about the final shape of your nose. Give it another week, and hopefully as the swelling resolves, your nose will appear straighter. It actually takes a few months for everything to settle, and revision is not... more

A: Nasal swelling can take a while

By Robert M. Freund, MD - New York City Plastic Surgeon

Dear Tigerfan, A crooked nose can be the result of crooked bones in the upper 1/3 of the nose(easy to fix), crooked cartilage in the middle 1/3 of your nose (moderate difficulty to fix) and distorted cartilage in the lower 1/3 of your nose (most difficult to fix). The bones can be fractured and realigned to... more

A: Deviated Nose Correction and Swelling

By Richard W. Westreich, MD - Manhattan Facial Plastic Surgeon

One of the hardest things to do in plastic surgery is correct a deviated or crooked nose. The problem, in many cases, is complex in nature and involves asymmetry of multiple cartilages, asymmetry of the underlying facial skeleton, and deviation of the nasal septum. While correcting all elements in a single... more

A: Swelling is very common after rhinoplasty

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

I would not be overly concerned at this point. If it gives you any consolation, we generally do not take our nasal photographs for typically 6 months after surgery, due to the selling and distortion that occurs during this period. In some instances surgeons may slightly overcorrect a deformity anticipating a... more

Comments

Tigerfan777
31 posts
4 Feb 2009

Great information Dr. Westreich. I am 100% sure that the doctor who performed my surgery is highly qualified. He had to use grafts from my ear for the surgery. I am going to be patient like you have suggested and wait for more of the swelling to go down. Thanks for your response.

View 5 replies

RoccoI
6 posts
19 Apr 2009

Tigerfan, can you still see the grafts sticking out? If not, when did it go down?

vy
3 posts
1 May 2009

i had mines done lil over 3 wks. my bridge is not centered in the middle, favors one side more. my incision is done inside my right nostril. i'm hoping that this is the reason why its angled on one side more, but i don't think so. looks like i'm convincing myself only cause my bridge is no longer swollen and bruises are all gone on the dorsal part. only my tip is swollen. but the tip has nothing to do with the bridge not centered in the middle. worse thing i just ran into a friend and she had hers done at same doctor. its been over 4 yrs for her, and the bad thing is hers is not centered and it is favoring same side as mines. knowing my luck! i hope your results are better! best wishes to u!

JULES VEIRA
1 post
21 Jul 2009

I am 4 moths down the line and not happy with the ammount of swelling I still have !!