Bulge on one side of supratip four months after rhinoplasty, is it swelling?

It is still too early to make a determination about the final result.The nose
can be swollen for up to a year or more. Swelling will depend upon the
nature of maneuvers employed, presence of grafts or implants, thickness
of skin, open vs closed, revision vs primary, etc. Kenneth Hughes, MD Los Angeles, CA

Supratip edema may take a long time to resolve and occasionally benefits from cortisone injections. That said, if the deformity is due to persistent cartilage it may not resolve. Best to follow up with your surgeon to get his opinion.

Irregularities, asymmetries, bulges, etc. can take a long time to go away so wait at least a year before considering revision surgery.  Also, sometimes such swelling is from scar tissue and injection of steroids can be helpful.

It is difficult to say at this time.  The swelling in the nose takes many months, and some would argue close to 1 year to fully resolve.  Even if surgery is necessary for correction, it would be far to early in my opinion to be getting it done any time soon.For more information, please go to my website at:WirthPlasticSurgery.com

Unfortunately no photos were submitted so I can really give an intelligent evaluation as to what is going on. That said I would go back to my PS and bring the problem to his attention and see what he has to say.

Dr. Corbin