Open rhinoplasty 4.5 weeks ago, a lot of asymmetry in nostrils, columella crooked with pig nose look from the front. (photos)

Is swelling causing assymtry of nostrils, crooked columella, and pig nose from the front? Surgeon said it's just swelling and tip will drop and columella will straighten and flatten out.. columella is well below nose and causing nose pointing up from the side also..nose slightly crooked also. Photo included

Doctor Answers 5

Asymmetries following rhinoplasty

Thank you for your question.  It is far too early to assess your final results, as your nose will continue to change over the next several weeks to months.  You have a particularly challenging nose due to the thickness of your nasal tip skin - often extending the swelling for over a year.  Relay your concerns to your surgeon and be patient, as only time will reveal the results that you are hoping for.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 50 reviews

4.5 weeks post op, advices:

Thank you very much for enquire.Swelling after a rhinoplasty depends of the surgery complexity.
In this regard, the nasal swelling Post-op It can last from two weeks to two months.
To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.
Kind regards, 
Dr. Emmanuel Mallol Cotes.-  

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 271 reviews

Rhinoplasty recovery

It is still very hard to tell how the nose will eventually look at only 4-5 weeks out.  Stay patient.  Even if you do eventually need a small touch up, you wouldn't consider it for many more months. For now, try to relax and allow yourself to heal.
Best of luckDr Rodman

Regina Rodman, MD
Houston Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

4.5 weeks post op rhinoplasty

Thank you for your question.  It is not uncommon in the early stages of rhinoplasty recovery to see some asymmetries.  Often these asymmetries resolve themselves during the healing period.  It is usually 6 months before the nose is completely healed.  Even though it is difficult, it is important to be patient during the early healing phase.  Best of luck!

Michael Sullivan, MD
Columbus Facial Plastic Surgeon
4.9 out of 5 stars 88 reviews


It really can be quite dramatic just how much change occurs during recovery from open rhinoplasty and also for how long these changes occur. Your surgeon knows best what exactly was done and how you are progressing. Follow your surgeon's instructions for the best opportunity for the best result and do your very best to remain patient. The progress/changes are slow but steady.

Robert H. Hunsaker, MD
Miami Plastic Surgeon
4.5 out of 5 stars 82 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.