I had open rhinoplasty 25 days ago. Swelling looks like it's getting worse? (photo)

Thank you for your query.

The swelling will eventually subside. A lot of patience is required. Swelling varies from patient to patient. In some patients, the swelling seems to take longer to settle. Rest assured it eventually will.

Kind regards.

It is important to consult with your surgeon about any questions or concerns you may have so they can give you a physical examination.  He may want to show you nasal exercises to help with the swelling.  Things will change over the next few weeks.  It takes months for all the swelling to subside.

Thank you for your question and photographs.It is important to consult with your surgeon about any questions or concerns you may have so they can give you a physical examination. You are extremely early in your recovery period and your nose will begin healing and changing, this will continue over the course of a year to year and a half. Swelling can cause the appearance of unevenness or enlargement. It takes 6 months for 90% of the swelling to resolve after a rhinoplasty. During this waiting period, several treatment options can reduce the swelling. First, post-operative taping is imperative to decrease swelling and mold the shape of the nose. This can be performed for a minimum of 2 weeks with recommendations commonly for 3 months. Second, a short course of oral steroids (Medrol dose pack) can be beneficial in the early stages to decrease swelling and pain. Third, I commonly use a dilute solution of Kenalog with Marcaine to decrease swelling of the nasal tip. If after 12-18 months, you are still unhappy with your results, I would contact your surgeon or a board certified plastic surgeon for a revision.Best of luck in your recovery!Sincerely,

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science