Edema Still in Nose Tip 5 Years After "Open Revision" Rhinoplasty & Septoplasty

In '03, I had a closed rhinoplasty/septoplasty. In May '05, I had a open revision rhinoplasty & septoplasty. Heard open & revision puts me at highest risk for long term edema. Plus, I have thick skin. In '06, a doctor prescribed Prelone syrup for the edema for about 2 weeks. Helped a little. Also, I saw a physical therapist that specialized in lymphatic drainage which helped slightly. 1. Will nose tip swelling fade by 10 yrs? 2. Can I do anything or take something for chronic edema?

Doctor Answers 5

Tip edema years after surgery

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Your nose edema can be unrelated to your surgery 5 years ago - you could have thick skin, rosacea or even early rhinophyma

Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Prolonged Swelling Post Rhinoplasty

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Dear revision rhinoplasty patient from Arizona,
It is true that after revision rhinoplasty there will be prolonged swelling, but no longer than one year. According to your description, you had revision rhinoplasty 5 years ago and I doubt it if this is just swelling, I believe you have scar tissue formation in the area. Please visit your rhinoplasty surgeon for guidance. Good luck and good healing

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 224 reviews

Tip fullness 5 years after revision rhinoplasty

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Being 5 years out from your revision rhinoplasty you shouldn't have anymore tissue edema.You may have scar tissue under the nasal tip skin or your thick skin may be limiting how refined your nose can get. An in person exam would allow for a better determination regarding the actual cause. Sometimes an injection of steroid or 5-FU can help soften scar tissue.

It is more difficult to address thick nasal tip skin. This may sound counter-intuitive, but in some patients better tip refinement can be obtained by increasing the tip projection. This stretches the skin envelope, so to speak, which can give better definition to the tip.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Rhinoplasty - edema

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I agree - 5 years after surgery, it is unlikely you have edema from your surgery.  You likely have some persistent scar tissue at your tip.  It's hard to say what the best treatment would be - sometimes a little cortisone injection on the nasal dorsum helps.  However, instead of going other professionals (PT's) I would see a plastic surgeon with experience in rhinoplasty.  They will be able to examine your nose and discuss with you options for improving it.

Dr. Cat Begovic M.D.

Chronic Tip Edema

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Hi Chandler,

5 years after a rhinoplasty, I doubt you have any edema at all... What you probably have is a persistent bulbous tip.

This is a result of either too much fibrofatty tissue or scar tissue in your tip. That said, its difficult to determine without seeing your tip.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 286 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.