Is my nose still swollen 1 1/2 years after rhinoplasty or is this my final result? (Photos)

Hello and thank you for your question. After rhinoplasty (nasal surgery), the nose can become REALLY swollen, and this swelling can take a LONG TIME to resolve (up to 1-2 years to fully resolve). I would recommend that you continue to observe things for now. You could consider a steroid injection, as this may help, but ultimately you should wait the full 2 years to see what your final results will be. Any revision surgeries would result in more swelling, so you should only consider that if truly necessary after that time. I constantly remind all my rhinoplasty patients how important it is to be patient after rhinoplasty surgery as it can take up to 2 years to see what the final nose will look like. I hope this helps!
Best,
Dr. Donald Groves
Plastic Surgeon

You could always try some steroid injection to see if that can help you get a little more definition, although steroids are very powerful so you don't want to over-thin things out and then cause dents that shouldn't be there. At 1.5 years you are probably close to your "final result" in terms of the post-surgical swelling, although you still may get minor changes here and there up to 3 years from surgery. However, I absolutely agree with what others have told you - if you have thick skin, there is going to be an inherent limitation to how small and "defined" you can get your nose. If this is absolutely something that drives you nuts, you could consider accutane to try to shrink the skin envelope a little bit, but from the way it looks in these photos, I think this is probably as "small" as you can go safely. Good luck!

Hello! Thank you for your question. As far as I can see from your photos .If you want a long-term solution, injections will not help you.I recommend rhinoplasty surgery for your concerns:Your nose will look much more elegant with the surgery.If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

Some people do retain swelling 1.5 years after rhinoplasty surgery, however, your photos seem to reveal thin nasal skin which does not tend to hold on to swelling for long periods of time. If you're unhappy with your nasal appearance, please consider discussing this with your surgeon or another experienced rhinoplasty specialist so you can see what might be best for you moving forward. I hope this helps! Sincerely, Dr Joseph

It is very difficult to make a good impression about your result based on these limited photos. Swelling may last much longer than 1 year after surgery. Application of tapes overnight may help to reduce swelling and achieve permanent result sooner. Hope this helps.

I think you actually have a nice result. Your nose will continue to change and the tip get more refined even after this point

At one and a half years your surgery results are final, and you know longer swollen. Steroid injections are not indicated and can have undesirable side effects. All People who have surgery while developers scar tissue.
To get an assessment of the outcome of the plastic surgery procedure always include formal before and after pictures. If you have more than one procedure before, and after pictures of each of the operations. If you don’t have proper before, and after pictures and ask for certain to forward, the pictures they took.
Best,
Mats Hagstrom, MD