Is There Any Hope my Nose Will Become Straighter After Rhinoplasty?

I need your expertise. Since my rhinoplasty 5 weeks ago, my nose has become asymmetric as I have developed a hard bump on the right side of my nose. My surgeon told me that it was bone and that it would most likely even out. However, it has now been 5 weeks and my nose looks EXACTLY the same. How normal is this asymmetry 5 weeks post-surgery? Is there any chance that BONE can "settle down" over the next few weeks? Also, when I gently press on the bone, it still hurts a lot. Does that mean anything? Thank you.

Doctor Answers 7

Rhinoplasty results

5 weeks is way to early to appreciate the final results of the nose after rhinoplasty. You should give it 6 months to a year before thinking about any sort of revision.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Five Week Rhinoplasty Result

After five weeks it is impossibe to know if your asymmetry will resolve. Tenderness at this stage should be noted, but does not cause concern. Your best approach is to be patient and wait for swelling to decrease over the next 6-9 months.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Your nose can certainly become straighter after your Rhinoplasty Surgery.

You have several options 5 weeks after Rhinoplasty Surgery. You could just observe this and wait. I've seen asymmetries like yours take several more months to completely resolve. You could also discuss a dilute Kenalog (triamcinolone) injection to the area of fullness on your right side with your surgeon.

In the worst case scenario, if the bulge on your right doesn't improve as much as you'd like, you will not require further surgery. You could have an Injectable Filler treatment to the opposite side that's a bit depressed to restore symmetry. My personal experience with Non-Surgical Rhinoplasty procedures is with Silikon-1000 for permanent results.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 418 reviews

Nose will become straighter after rhinoplasty

Thanks for the photo! Hard to be sure but I think you are correct and will need further surgery. Sorry for this issue. Get another opinion.

From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Nose Crooked 5 Weeks After Rhinoplasty


You may have a bit of inflammation along the osteotomy on your right side causing more swelling on the right.  I agree that it is too early to jump to any conclusions, but would recommend firm massage of the area.  Check with your rhinoplasty surgeon before following any advice here on RealSelf.

Good luck and be well, hope that your nose straightens out for you.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Nose straightening after rhinoplasty.

It is way too early to know. It takes a minimum of 6 MONTHS for asymmetries to resolve and sometimes as much as 12 months. Be patient and it will probably be fine.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Crooked Nose after Rhinoplasty

It appears that your left nasal bone is more depressed than your right. At this point I don't think there will be any more changes to your nose. You may need a little rasping and an osteotomy on the right.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 272 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.