How Can I Help Reduce Columella & Tip Swelling Post Rhinoplasty?

It takes 6-12 months for the swelling to go down and doing the things you mentioned will make little difference. Only time--be patient and the swelling will go away.

In most cases, there is not much that will reduce swelling other than patience and more time. Keeping the head elevated may help with swelling somewhat, but for mild swelling a month or two after surgery, this is going to make a minimal amount of difference. Keep in mind that the nose can take a full year to see the final results after a rhinoplasty.
Be sure to discuss any post-surgical concerns with your surgeon. 
All the best,

It’s not unusual for patients undergoing rhinoplasty to have
prolonged swelling.Several factors,
including the use of open rhinoplasty, fracture of the nasal bones, thickness
of the nasal skin, and a previous rhinoplasty have been associated with
lengthened swelling.Most
patients will note significant swelling for about two weeks following
surgery.After two weeks, most patients
are comfortable resuming their normal lives and going out in public.Swelling
will persist in most patients for at least one year following surgery with the
nasal tip being the last site to experience resolution.In the immediate post-operative period, nasal
splints, elevation of the head, low salt diet, ice and rarely steroids can be
used to minimize swelling.

The swelling is still going to take some time to go down after your rhinoplasty. At this point, sleeping position or dietary changes will not make much difference. 

Sometimes, injecting a small amount of steroids into the swollen regions can help the swelling to resolve faster, particularly if you have thick skin.

Talk to your surgeon to see if that might be an option for you. Otherwise, hang in there and give it time.

Best wishes,

-Dr. Jamil Asaria, FACE Cosmetic Surgery, Toronto

 

 

 The amount of swelling in the nasal tip is dependent upon the skin type and the surgical procedures performed on the nasal tip.  To reduce swelling in the nasal tip there is a combination of procedures that can be performed in the postoperative healing phase. These include Blenderm  tape applied across the nasal supratip at night to help prevent fluid retention in that area. Cortisone shots by your surgeon can also help reduce swelling to limit the lymphatic edema present in the supratip area of the nose. A low-salt diet will also help prevent fluid retention in the nose as well.