6 Months Post-Op Rhinoplasty, Still a lot of Swelling at the Tip, What Can Be Done?

the doctor says it could be the result of a sub clinical infection during the surgery or due to fibrous tissue deposition. can it be corrected? my nose is bigger than it was before surgery.

Doctor Answers (6)

Rhinoplasty and postoperative swelling

+4

6 months is a long time to wait for your results following rhinoplasty.  You will have changes to your nose for the better from 6months - 12 months following surgery but if your nose is truly larger than its preoperative state you have a few options.  The first would be to have an honest assessment of whether scar tissue formation is the cause of the problem.  If so, then you can consider a steriod injection to the area to help thin the scar tissue.  If is merely related to having slightly thicker skin then time is all that is needed.  And if neither of these are the case then you can consider a revisional surgery.  I would wait the full year prior to considering that last option but it would be obviously reasonable if the problem persists.


Scottsdale Facial Plastic Surgeon
4.5 out of 5 stars 20 reviews

6 Months Post-Op Rhinoplasty, Still a lot of Swelling at the Tip, What Can Be Done?

+2

Ask your Rhinoplasty surgeon if he/she has any suggestions for decreasing the nasal tip swelling.  Perhaps some kenalog injections and manual lymphatic drainage?  If these do not improve the nasal tip shape in a few months, you may want to consider a Revision Rhinoplasty to improve the nasal tip.  It would be a good idea to ask your Rhinoplasty Surgeon if there are cartilage onlay grafts placed in the nasal tip and if so, how many and where were they used...as these can increase the tip size.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Tip swelling

+2

Tip swelling at 6 months may still be present.  If it still appears larger at a year, then you may want to consider a revision. It also may be scar tissue.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

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Swelling of nasal tip 6 months postoperative following a rhinoplasty

+2

There definitely can be swelling normally 6 months post rhinoplasty and more commonly and extensively with an open one. Give this at least 6 more months to subside before considering any additional surgery or procedure. I would not recommend injecting silicone at this point in timel

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 20 reviews

Tip

+2

Swelling at the tip of the nose lasts a very long time and six months is not that unusual. Simply being patient and consulting your surgeon are the best things to do.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

Tip swelling after six months post rhinoplasty

+2

After six months there can be several causes to 'swelling' in the nasal tip. Fibrous tissue is possible, sub-clinical infection is imaginary. In some skin types the steps in reduction rhinoplasty will not allow the skin envelope to shrink and conform, and the cartilage support may not be strong enough to show through and 'define' the shape of the new tip and nose. You should wait six more months, avoid the suggestion of steroids, and if unhappy let some else have a look to help sort out the problem.

Best of luck,

peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 29 reviews

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.