Swelling Worse at Night?

I am 15 days post op (rhinoplasty/septoplasty). after getting my cast off my nose was bigger than before, but over the week it's been de-swelling. I was wondering though, the swelling appears to get worse at night and resolve during the day. Is this normal?

Doctor Answers 5



It is very normal to have more swelling at night. You will be able to see your final results after 6-9 months.


Beverly Hills Plastic Surgeon
4.0 out of 5 stars 9 reviews

9025 Wilshire Blvd.
Beverly Hills, CA 90211

Rhinoplasty Recovery Takes Time


Dear Sapphire, Please give your nose some time to heal and the swelling will start dissipating over the next few months to an entire year. It is not uncommon for the tissues to swell after the splint removal. I would suggest watching your salt intake and sleep elevated with several pillows behind your back to help alleviate the swelling. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 169 reviews

360 San Miguel Drive
Newport Beach, CA 92660

Swelling after rhinoplasty

Swelling of the nose after rhinoplasty is normal. This will take many months to resolve completely. Be patient and good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Swelling post rhinoplasty

Yep, that's entirely normal.  Because you lie flat at night, your body fluid redistributes.  It increases in your head and your feet shrink!  When you're upright during the day, the opposite happens - ankles and feet swell, and your head shrinks.  After rhinoplasty, because of the inflammation of normal healing, the effect is exaggerated.  

It will happen for a few months, then it will go away.  


All the best

Howard Webster, MBBS (Hons), FRACS
Melbourne Plastic Surgeon
5.0 out of 5 stars 91 reviews

650 Bridge Road
Richmond, VIC 3121

Post rhinoplasty swelling is worse at night because your head is down.


This is very typical.  Swelling builds up when your head is not higher than your heart.  So sleep with two or three pillows.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

875 Park Ave at 78th Street
New York, NY 10075

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.