Tingling/itchy sensation 2.5 years post-op, could it be nerve damage?

If you are overall happy with the appearance of and function of your nose after rhinoplasty surgery, it is unlikely that you have any type of nerve damage. The most common neurological complaint after rhinoplasty is numbness of the lower 1/3 of the nose, and that tends to get better on just about everybody. Your itchiness is a bit of a conundrum.

Persistent itching near the supratip area after septorhinoplasty is often due to nerve regeneration, scar tissue, or sinus-related issues. It's unlikely to be permanent nerve damage, as itching usually indicates healing nerves. Since the sensation persists and sometimes radiates toward your eye, it's important to consult your surgeon or an ENT specialist for evaluation and personalized advice.

Rhinoplasty surgery can create certain changes in skin sensation.
Normal sensation typically develops overtime and whatever potential change usually becomes the new normal.
Some numbness of the tip is more common with an open rhinoplasty.
I think it’s highly unlikely you have any significant nerve damage and I also don’t think that there’s any real treatment for your nasal sensation.
Probably the best thing to do is simply ignore it.
Focusing on it too much may create an ongoing issue that should probably be downplayed.
Best,
Mats Hagstrom MD