Nose is asymmetrical after rhinoplasty. It has been 5 weeks now. Is this due to swelling or will it always be like that? (Photo)

it has been 5 weeks now is this due to swelling or will it always be like that.i also feel my nose moves when I sleep to the side.is that normal

Doctor Answers 6

Rhinoplasty swelling

the nose maintains swelling for months after rhinoplasty, so you are still in the early stages.  However there are things that you can do that influence the speed of resolution, such as lymphatic massage, steroid injections, exercise, salt restriction.  Make sure you continue to voice your concerns with your physician to help you navigate the timing of all this.


Madison Facial Plastic Surgeon
4.7 out of 5 stars 13 reviews

1 month post op, some advices:

Thank you very much for enquire.

Swelling after a rhinoplasty depends of the surgery complexity.
In this regard, the nasal swelling Post-op It can last from two weeks to two months.
To reduce this swelling, I recommend you perform delicates daily lymphatic drainage massage therapy over the face (around the nose) avoid sun exposure, and take pain/inflamation pills, as your surgeron precribe you.
Kind regards, 
Dr. Emmanuel Mallol Cotes.-  

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 178 reviews

Rhinoplasty at 5 weeks

At 5 weeks post-op, your nose is till swollen and you need to allow it heal and for t he swelling to subside.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Recovering from rhinoplasty and swelling

Recovering from rhinoplasty is a healing process. Part of that process is waiting for swelling to go down to see your result. 

In the first 6-8 weeks the majority of swelling will go down. Over the next 6-9 months you'll experience a downward trending rollercoaster of swelling going up and down depending on your exposure to heat, sun, or salt. At one year, you're close to your final result; however, the nose is known to continue healing and refining by very small amounts for years after that. 

The swelling commonly goes down in an uneven way. First one side and then the other goes down, which may give the appearance of a crooked nose until the other side catches up. The tip is the last area to settle down. It's important to follow your surgeon's instructions and keep your follow-up appointments so your surgeon can track your progress toward a safe and happy outcome. Safety comes first. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Nose is asymmetrical after rhinoplasty. It has been 5 weeks now. Is this due to swelling or will it always be like that?

Thank you for your question. At 5 weeks post op from Rhinoplasty, its still  early in your healing process. Every patient heals different, but you need to give it time for the swelling to go down. After a couple of months you can talk to your surgeon if you still have any concerns.

Franco R. Jacome, MD
Mexico Plastic Surgeon
5.0 out of 5 stars 6 reviews

Rhinoplasty

Thank you for your question and photographs.

You are still quite early in your recovery period and your appearance will continue to refine.  It may take up to a year for all swelling to resolve and for your nasal appearance to settle to a final outcome. Your doctor may prescribe you a Medrol dose pack (steroid) to help reduce the swelling. Healing is often unpredictable and one side may heal quicker than the other and sometimes even nasal bones may shift in healing.  The outcomes may not be as expected.  In some cases a revision may be recommended to refine your outcomes, but I would wait at least 12-18 months so you are fully healed before considering a revision. 
Best of luck in your recovery!
Sincerely,

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 68 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.