Can swelling remain 3 years a after revision rhinoplasty in a patient with thick skin?

The answer is - yes. Swelling can persist for many years in patients who have much thicker nose skin. In some cases, accutane may help to shrink this skin down - but that is a joint decision made by you and your rhinoplasty surgeon.

Dear Mike0016,Swelling may persist after 3 years, but it could also be time that you can do something about itSteroid injections can thin the skin, especially around the tipAccutane is another great treatment to thin the overall skin of the nose.  Typically, you need to take the medication for 6-9 months and the results are permanentBest,Dr. Nima

Swelling after rhinoplasty, especially revision rhinoplasty, can definitely take more than one year to settle. Changes are seen to the parents of the nose even years after the original surgery depending on the technique used.  Thick skin takes longer for the edema to settle.  However at three years  it is unlikely that there is much Adema that needs to settle. Please follow up with your surgeon. For persistent edema I like to inject of Small doses of kenalog. You may also be a candidate for skin treatment with laser resurfacing or accutabe and can consult a skin specialist. Lastly the most aggressive option would be another revision surgery where the muscular layer around the nose is reduced to make the nose skin less thick.  Please make sure you see a board-certified facial plastic surgeon who is familiar with this level of revision surgery if you are interested. I wish you the best and hope this helps, Dr. Ardeshirpour