4 years post-op & rhinoplasty swelling is getting worse, please help me!

Question

I had rhinoplasty done in 2019, and after that, my swelling had reduced a lot by mid-2020. Now, when I sleep, there is congestion in my nose, and it blocks my nose, due to which my swelling is increasing. If I do not sleep for 2 days, the swelling will start decreasing, but if I sleep, the swelling will increase the next day. And earlier, when I used to wake up from sleep, I used to notice less swelling. I feel very bad seeing my face, and I stay at home; I don't even go out. I feel SAD.

Eric M. Joseph, MD · Answer

If your surgeon used permanent suture material, or if you have a foreign body nasal implant, either of these could be the cause of recurrent swelling. If Consulting with a reputable rhinoplasty specialist is not possible, you may wish to consider re-asking a question with photographs that best describe your concerns. I hope this is helpful, and thank you for your question. Sincerely, Dr Joseph

Ajaya Kashyap, MD · Answer

Sorry to hear of your problems. Swelling happening so late after a rhinoplasty is likely to be from some other cause rather than the rhinoplasty itself. It will be best for you to schedule a consultation with your rhinoplasty surgeon as well as an ENT who can investigate  the cause of the selling with possibly a CT/MRI scan and an endoscopy to rule out any intranasal pathologies. All the best!

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question ,to solve your breathing problem and make your nose the way you want it I recommend you revision surgery.If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

Caner Kacmaz, MD · Answer

When wewake up from a sleep, its very normal to have swelling because we are laying diwn for a long period. 
That is probably the reason you are noticing swelling around your nose. 
If you are feeling unhappy with your results and your breathing hasn’t improved in general, I would highly recommend you to go back to your surgeon and let them know your concerns.

Ronald J. Edelson, MD · Answer

You probably have r large ent if your nasal turbinates. They can be reduced by both surgical and non surgical methods. I recommend seeing a otolaryngologist  who specializes in nasal airway work.

4 years post-op & rhinoplasty swelling is getting worse, please help me!

Answers (5)