What are the most effective supplements or things to do to reduce long term swelling in thick skin patients?

The most important thing to do to reduce swelling after rhinoplasty is to sleep in the upright position or as vertically as possible for as many days as possible. The helps re-establish venous drainage and lymphatic drainage.

Best Wishes,

Gary Horndeski, M.D.

If you want to reduce swelling after a rhinoplasty, you want a surgeon with meticulous technique who doesn't violate the soft tissues between the cartilage/bone and the skin above. This limits bleeding post operatively and has the most profound effect on swelling. Arnica, bromelain, and the like fail to show superiority over placebo.