Swelling 8 weeks post rhinoplasty?

Hello! I had rhinoplasty 8 weeks ago and while the swelling has gone down on my bridge, when I feel my nose about half way down is a big ridge and from there to the tip I can literally feel the swelling. I had a steroid injection at 4 weeks and it helped a bit but since then it's stayed the same and this puffiness I can feel hasn't got less. It's like a step- I run my finger down my nose and can feel a big ridge where swelling starts. Is this normal? Is there anything I can do to help it? Thanks

Doctor Answers 5


'Complete Healing' can take 6-12 months.It would be best for you to visit an experienced board certified plastic surgeon for an in-depth to review your concerns.

Oahu Island Plastic Surgeon
5.0 out of 5 stars 33 reviews


Thank you for your question.

It is important to consult with your surgeon about any questions or concerns you may have so they can give you a physical examination. You are still early in your recovery and your nose is still healing and changing, this will continue over the course of a year to year and a half. It takes 6 months for 90% of the swelling to resolve after a rhinoplasty. During this waiting period, several treatment options can reduce the swelling. First, post-operative taping is imperative to decrease swelling and mold the shape of the nose. This can be performed for a minimum of 2 weeks with recommendations commonly for 3 months. Second, a short course of oral steroids (Medrol dose pack) can be beneficial in the early stages to decrease swelling and pain. Third, I commonly use a dilute solution of Kenalog with Marcaine to decrease swelling of the nasal tip. If after 12-18 months, you are still unhappy with your results, I would contact your surgeon or another board certified plastic surgeon for a revision.
Best of luck in your recovery!

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 79 reviews

Swelling at 8 weeks post rhinoplasty

Thank you for your question.

Swelling after rhinoplasty takes a whole year to settle. At 8 weeks, You will still be swollen. A lot of patience is required, and I would advice against using steroid injections to speed up the reduction in swelling as its actions can often be unpredictable.

Kind regards.

Ivo Gwanmesia, FRCS(Plast)
London Plastic Surgeon
4.7 out of 5 stars 32 reviews

2 months post op, some advices:

Thanks for the question.
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 272 reviews


At this stage in healing it is normal to experience swelling that can last for several weeks to months.  Follow up with your surgeon so he can monitor your progress.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 62 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.