Asymmetrical Swelling or Bad Rhinoplasty?

I just had a rhinoplasty with septoplasty and turbinate reduction on June 21st. Now, it is 3 weeks later, and my nose looks REALLY crooked. The tip was definitely a looked crooked before surgery, but now it looks more so! And my tip is still rock hard and swollen. The doctor doesn’t seem worried, but I am. He gave my an injection in the tip at my 2-week check-up 5 days ago. I don’t notice any change yet.I am so sick about this. Professional opinions please?

Doctor Answers 11

Swelling After Rhinoplasty Takes Many Months To Go Down

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During the recovery phase from a rhinoplasty, the hardest thing to have is patience. While three weeks to you is understandably an eternity, when it comes to getting the final result from a rhinoplasty you are just getting started. If you read the forums here on Real Self on Rhinoplasty, you will see that the most consistent question or concern after surgery is swelling and/or asymmetry. Whatever your result may be, it is impossible to predict now and the only thing you know for sure is that it will most cases for the better. Even though it is not the answer a patient wants to hear, six months after rhinoplasty is the time to critically assess where you are. And revisional surgery, if needed, will not be performed by most plastic surgeons until one year after the original procedure.

Asymmetrical Swelling or Bad Rhinoplasty?

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It appears that you have some collapse of the lateral walls on your tip, causing the asymmetry. This may be from the position of the cartilage, or if too much cartilage was removed. Steroid injections will not solve this issue.

As far as the bridge it is hard to tell since you are only 3 wks from surgery. It is common to see asymmetries after surgery. If the asymmetry is related to swelling time will solve this.  Swelling is part of the surgical post op course, and steroid injections may work for specific areas, but not for the entire area involved. There are potential side effects to them as well so judicious use should be kept in mind.

Your best option is too allow the swelling to decrease, and monitor the progress. No treatment at this time.



Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 113 reviews

Asymmetrical Swelling or Bad Rhinoplasty

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Thank you for submitting your question. Your very early in your recovery from a rhinoplasty. Swelling after a rhinoplasty, with tip and septal work will last for a year. Swelling can cause temporary asymmetry. Discuss your concerns with your surgeon and follow his/her advise. Best wishes

Swelling after surgery

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In general, swelling after rhinoplasty takes months and months to fully resolve. You'll notice your nose is swollen at the moment. The initial swelling may disappear after 2 weeks, but that doesn't mean you still don't have any swelling right now. You should wait at least a year before considering revision rhinoplasty.

Asymmetrical swelling

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I hate to seem old fashioned, but you should follow your doctor's instructions and guidance.  Only he/she knows what is in the tip in terms of grafts and sutures.  Swelling os often asymmetrical but usually evens out over 12-18 months.  You have a lot of healing to do and my need more injections because of your thick skin. 

Stuart H. Bentkover, MD
Boston Facial Plastic Surgeon

Asymmetric nose 3 weeks after Rhinoplasty

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Really...three weeks after a Rhinoplasty is way to soon to evaluate your nose as swelling will change the shape literally day to day.  Wait several months to see the shape and make a dtermination at that time. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

3 weeks post-op

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Three weeks post surgery is still very early for you to judge the results of your surgery - be patient and follow up with your surgeon

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Swelling or a bad rhinoplasty

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At two weeks, it can be hard to tell how things will sort out and steroid injections at two weeks seems meddlesome if a sound surgical plan was followed. It can be reassuring if you used computer imaging to help plan nasal changes as you and your surgeon will have a clear idea as to how things are to be. Wait six months, and if your nose is not what you hope for seek a second opinion.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Rhinoplasty swelling

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You are very swollen and too early in the process to be seeking other opinions. Trust your doctor as he/she is the only one who knows what was done at this time. You have at least 3-6 months of healing ahead where you are going to see changes.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Rhinoplasty results take 1 year.

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Having said that wait about 6 months and if the deviation and hump are still there return to your surgeon and if you are not satisfied seek a second opinion from an experienced revision rhinoplasty surgeon.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 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.