Closed Rhinoplasty 8 ½ Months Swelling at Supratip? (photo)

Question

I had closed rhinoplasty in September last year. As you can see from the photos I have attached I had a nasal bump and a droopy tip. I was happy with my nose when the cast first came off but then my nose started changing and now its completely different. The swelling on the tip of my nose is still present, I have been massaging my nose as my surgeon showed me since the operation but I have seen no improvement. My nose is still droopy when I smile, will taping my nose at night help at this stage?

Vincent N. Zubowicz, MD · Answer

Swelling in the super tip area four months after rhinoplasty is an annoying problem. Most the time it is self-limited. Steroid injections are sometimes used. Taking for the purpose of generating pressure can be beneficial even eight months out. I see no value in massage and take it might even aggravate the problem.

Deepak Raj Dugar, MD · Answer

Hello,I am sorry about your results. However, it usually takes 1-3 years for the swelling to fully go down after a rhinoplasty. The tip takes the longest time to heal and mold to the new framework because it is the thickest skin of the nose. I recommend waiting three more months so you can see your final result after the swelling goes down. If the swelling does not change, then I would make a consultation with a board certified facial plastic surgeon for a revision. All the best,Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

Toby Mayer, MD · Answer

Wait 2 more months and if no change u will need a revision. Return to your surgeon or get a second opinion from a revision rhinoplasty experienced surgeon. Massage does nothing in my 35 years of experience.

Steven Wallach, MD · Answer

Usually closed rhinoplasty patients have less swelling than open rhinoplasty patients. I still would give it a year. If not you  may need a revision.

Karol A. Gutowski, MD, FACS · Answer

You may want to ask your surgeon if a very low dose steroid injection into the supratip area may help improve this.

Closed Rhinoplasty 8 ½ Months Swelling at Supratip? (photo)

Answers (5)