Rhinoplasty before & after photos
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Swelling and Discoloration After Rhinoplasty

Hi! I had a complicated Rhinoplasty revision a year ago. My surgeon is in LA so I have been unable to go back and see him. My nose still looks swollen and this fluctuates depending on the time of day and heat.

Frequently, my nose goes bright pink and swells up, at least once a day. It will stay like this for a while then go back to normal. There are no foreign objects in my nose. I also often find it very difficult to breathe through my nose, this also fluctuates.

My surgeon has recomended a steroid injection. Do these still work after a year to reduce swelling? I also have bluish and red discoloration on the tip after the second surgery, will this ever go away? So many questions! I don't have many pics on this computer, the one I have uploaded does not show discolouration as i have make-up on. Thanks very much.

Asked 36 months ago by caitfiona in Scotland
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+1

See a revision Rhinoplasty specialist

The picture does not show closely what is going on with your nose. The steroid injection may give a small amount of improvement, but you should see a revision rhinoplasty surgeon in your area to examine your nose and advise you.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+1

Discoloration and Swelling Post Rhinoplasty

Discoloration after a rhinoplasty can result from several issues including: Formation of blood vessels after the rhinoplasty procedure on the skin envelope- these should not be addressed by a LASER until patient is 100% certain of not needing an additional procedure.  additional procedures can lead to more aberrant blood vessels Poor vascular supply-  Bluish and whitish discoloration can be seen in patients with poor vascular supply to the nose.  It is more... more
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

Many factors affect the degree of swelling in your nose

Swelling in your nose after a revision rhinoplasty has to do with the lymphatic edema that is trapped inside the nose due to altered lymphatic drainage from the nose. Exercise and heat and the time of the day can all affect the amount of swelling and fluid shift that occurs in the nose even after a year. This is especially prominent in the tip. Altitude, air pressure changes, and hormones can also affect the swelling. A low-salt diet will help. Steroid injections will help in the... more
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

It will get better.

The key to your question is fluctuation. Whenever rhinoplasty is performed, the surgeon is lifting the skin and soft tissues of your nose to alter the cartilage and bony framework. By definition, this process involves disrupting the little nerves that provide sensation to the skin and the little vessels that allow normal drainage of fluid from your skin. Thankfully, this 'injury' heals and all goes back to normal. With each successive surgery though, this healing can take longer and it is... more
Jason Litner, MD
Beverly Hills Facial Plastic Surgeon
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