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

If patients have active acne, or very thick oily nasal tip skin, treating the underlying skin condition before rhinoplasty is the best way to improve healing, and to minimize swelling in the nasal tip postoperatively. Thank you for this question, and I hope it helps. Sincerely, Dr Joseph

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. tapping is important, considering cortisone inj. during f-u if needed

Hello! Thank you for your question.
As far as I can understand from your question, there is no intervention to be made for thick skin, it may take 1.5 years for the nose to take its full shape after surgery, and in some patients it may take up to 2 years, you should be patient for this.
It would be better face to face consultation.
Best Regards!

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.

The most effective thing is to tape the nose especially at night. There are many you tube videos in line that show how to do it

Hello and thank you for your question. Arnica and bromelian for the first two weeks can help with bruising and swelling, although certainly not perfect. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months after surgery and continue as needed. With that being said, the final outcome will really depend on the surgical techniques that your surgeon used during your surgery. I recommend that you maintain close follow up with your surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

When patients have thick skin, a low salt diet will help, along with steroid shots placed in the nasal tip in the first several months after the procedure. Close follow up with your surgeon is important, because for patients who have thick skin, they have more swelling, and the steroid shots then become just as important as the surgery itself to keep the nose in balance.