When will swelling go down after septoplasty?

After a septoplasty is done it is to be expected that the columella and base of the nose will remain swollen for quite some time. With time gravity pulls the swelling down to the lower parts, and these are the last to go down. Also if the rest of the nose was not operated on (no rhinoplasty was done) then those areas look even bigger proportionally for a while. Having swelling 4 months after a septoplasty is not uncommon. I am sure it has gone down some since surgery, but it is hard to appreciate the changes when you see things every day. I would recommend taking pictures every week or two and compare them to see your progress. We expect some minor swelling to persist even up to a year after surgery, do don’t panic…it should continue to slowly get better over time! It can be hard to be patient.