Swelling 3 Years Post Septo/rhinoplasty. What Should I Do? (photo)

I am middle eastern w thick skin. I had a large bulbous tip as well as a big hump. I had a dev. left septum. I now have a nice profile view but 3/4 view is ugly due to my bulbous tip. My right side is more swollen then the left&my nostrils are uneven. My nose looks crooked & I can barely breathe out my right nostril. I have scar tissue on the right side.I have a visible scar where the incision was made.doctor says its swelling and every 4months I recieve steroid shots with very little results.

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swelling 3 years post-op septorhinoplasty thick skin

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8 Doctor Answers | Asked by Shhady

Doctor Answers (8)
Community Comments (1)

Middle Eastern Nose

By 3 years after surgery the swelling is gone. Your nose is bulbous in the tip but for a middle eastern nose it is within the aesthetic norm. If you still wish it to be less bulbous you will need revision tip rhinoplasty. Please be aware that tip plasty can make your nose look more caucasian. The bigger issue is breathing. If you cannot breathe you should see an Otolaryngologist for evaluation as there are so many conditions that can cause this problem. Regards Dr.... more

Post Rhinoplasty Residual Deformity

Thank you for the question and the pictures. It appears as thought you will need a revision to correct your bulbous tip and your inability to breath out of the right side of your nose. In any case the first step should be a thorough in-person exam and a review of your operative report to know what has already been done. It is important to note that how much refinement that can be carried out/attained will be limited by the thickness of your nasal skin.

Rhinoplasty surgery

Dear Shhady, After 3 years, you are candidate for a revision rhinoplasty with a scar revision as well There might be a limit with how defined of a tip you can have based on the thickness of your skin You should start with your surgeon and if you are not getting the answers that you need, then please seek out another rhinoplasty surgeon Best regards, Nima Shemirani

Middle Eastern nose job - seek rhinoplasty specialist well experienced in revisions

The problems you've described - thickened soft tissue in the nasal tip and supra tip areas as well as asymmetry of the nostrils - can often be corrected w/ simple steroid injections. Steroid injections are typically done in a series, 1-3 months apart. Theoretically, the steroid breaks down the underlying scar tissue in this area. This approach is certainly an appropriate initial choice and would be better than a second surgical procedure, if it were successful. Unfortunately, after a... more

Breathing Issues and Bulbous Tip

Although the tip may be made smaller, this is not a given. In addition, the breathing problem needs to be evaluated as well. Kenneth Hughes, MD Los Angeles, CA

Asymmetry following a rhinoplasty

After 3 years you have certainly reached your final result and there is no more swelling present. If there is any asymmetry present on your tip it may be due to differences in the cartilage that make up the tip. Usually with thicker skin small differences in cartilage symmetry are more difficult to notice. If you still do not like the appearance of your nasal tip then you may need a tip revision. Also if you have a thickened scar of the nose I would not recommend... more

Swelling 3 Years Post Septorhinoplasty

Although some middle eastern patients do have thick skin and prolonged recovery at 3 years after your septorhinoplasty you do not have any residual swelling; you are looking at the final result. If you are not satisfied with the result consider a revision.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Swelling after rhinoplasty

I agree that at 3 years post-op you are not dealing with swelling. Steroid injections, in my opinion, will not do any good at this point. In fact, they may be doing harm by thinning the skin too much. The issue with your tip at this point is cartilage shape. It could be refined by a revision rhinoplasty. At the same time, your breathing should be addressed. Good luck.

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Comments (1)

Shhady 1 Feb 2013

Doctor says turbinate is enlarged. Is there a turbinate specific surgery? The use of steroid sprays have not helped with breathing. I also have scar tissue on the outside of the nose. Is there surgery to remove scar tissue

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