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What is the Difference Between Swelling, Scar Tissue,& Bulbousness? 3 Months Post-op--will my Nose Go Back Down?

I had rev rhino w/ a trimmed Medpor implant/tip elevation/narrowing. At 6 wks, the 1st day I saw the final shape (in the evening, when the nose is usually unswollen),I sustained a minor injury.The nose admittedly was warm/painful/swollen,but went back to normal color in a week. Now I am 3 months post op & the nose is twice the size it was that day, is hard, & bulbous around implant. Saw surgeon; implant is intact/grown in, but he said it is too dangerous to give kenalog. Advice for best outcome?

Doctor Answers (4)

Bulbous Tip In Ethnic Rhinoplasty



Bulbous tip usually comes in 3 varieties: Fibro-fatty tip, cartilagenous tip and iatrogenic or surgery induced ( scar tissue , wrong implant) . I think you fall into the 3rd category. You may have some scar tissue but I think you bulbous tip is being caused by the medpor implant. I dont think it will change with time. Medpor implants are typically too bulky and large making the tip even more bulbous than before. I would not recommend kenelog.



New York Facial Plastic Surgeon
5.0 out of 5 stars 213 reviews

What is the Difference Between Swelling, Scar Tissue,& Bulbousness? 3 Months Post-op--will my Nose Go Back Down?


This early after rhinoplasty, it is premature to be concerned about the final result.   The swelling is going to be very prominent at this early stage.  I would follow with your surgeon.   This may take the full year or more to resolve.                                                                                                                                                                                                                                                     Kenneth Hughes, MD
Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 218 reviews

Rhinoplasty Post Op Swelling with Implant


Your doctor, after examining you, should have a fairly good idea if this is swelling(which should resolve) or something else. It may take several months for skin to completely settle down around an implant.  Good Luck!

Roy A. David, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 19 reviews

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Swelling vs. Scar Tissue


3 months post op the great percentage of what you are seeing is swelling. Typically and traditionally 3-6months is a common period to have tissue swelling thus your final result has not been born out yet.  Scar tissue has finished being laid down at 2 months but will be remodelled from 2-12 months....thus the one year time frame quoted for final results from rhinoplasty.  Bulbousness is truly more a defining of the residual cartilagenous framework.  That would not change in the long run...but're not at the moment where this is well defined yet.  So don't fret!

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon
4.5 out of 5 stars 20 reviews

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