Uneven nose after 6 months? Should I be concerned? (Photo)

Question

It’s just been over 6 months since I had my rhinoplasty and my nose is still uneven. One side looks a lot less swollen than the other. The really swollen side also feels very thick to touch whilst the other side feels thin and normal. Is this something I should be concerned by?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can understand from your question,depending on your skin structure, swelling may last from 1 year to 1.5 years. but it would still be more appropriate to consult your surgeon.It would be more convenient to decide with face-to-face consultation. Best regards!

Eric M. Joseph, MD · Answer

Generally, it's difficult to evaluate up close photos of the nose. Since you have thin nasal skin, an examination would shed light on your concern. Consider asking this question to your surgeon. Hope this helps! Doctor Joseph

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. Since recovery from a rhinoplasty procedure can take a year or more, it is difficult at this stage to assess your final result. During this recovery period, the nose can continue to shift in shape and alignment. 
At six months post-surgery, it is possible to still be experiencing slight swelling. It would be best to wait an additional six months at least to consider your rhinoplasty results, at which time you can better determine if further changes are necessary. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon for further guidance and suggestions.

George Bitar, MD · Answer

It generally takes about 1 year for the swelling to completely resolve after rhinoplasty.  For patients with thicker skin, the swelling may hang around for a long period.  I would give your nose more time for the swelling to subside before assessing the final aesthetic outcome.

Zoran Potparic, MD · Answer

We usually suggest to our patients to apply tapes over the nose and, sometimes, nasal breathing tubes, to controle breathing and inside the nose swelling. Applied over night for a period of 4-6 weeks, sometimes longer if swelling persists, this seem to help controle postoperative swelling in most of our parients. Good luck.

Ronald J. Edelson, MD · Answer

Your nose is pretty symmetric but still some swelling. You’ll be surprised the swelling will continue to go down for the next 6 months or more

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello there! At six months, there’s still a bit a time for the nose to reduce swelling and refine itself. It’s not uncommon that one side of the nose may feel different than the other side. After approximately 10 to 12 months, most of the swelling should have resolved. At that time, if the nose is still asymmetric, you can consider a revision procedure. In the interim, it may be worth having steroid injections, undergoing compressions, and taping nightly. Hope this helps!

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note minimal supratip fullness. Rhinoplasty is quite a traumatic procedure. Your nasal skin and soft tissues are dissected free from the underlying skeleton, the bones are fractured, and the cartilages trimmed. As a result, it takes 12-18 months for the inflammatory swelling of healing to completely resorb. During the interim, the tissues may be firm, swollen, and and tender. The swelling may not be symmetric.
Allow more time for full healing. If the fullness persists, revision may be considered.
Best wishes...

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