Severe swelling, tightness, and lack of symmetry, 1 year post-op rhinoplasty

Question

A year ago, I had a two-hour nose job. an eagle-shaped nose with thick and oily skin. I had very severe swelling. The surgeon injected corticosteroids in the second month, but didn't work. In the ninth month, he told me to start using isotretinoin under the supervision of a dermatologist. didn't work.still very swollen. My nose has not improved since month 2 and is still pear-shaped(one side is more swollen & a bigger hole with annoying tightness). Will this nightmare go away?

Eric M. Joseph, MD · Answer

It is not possible to give you an opinion about your nose without photographs. It is fair to say that one year after rhinoplasty, you should be relatively close to your final result. If you aren't happy with how your nose looks, please consider getting a second opinion from another reputable rhinoplasty specialist so you can have peace of mind. It may be helpful bringing with you a copy of your operative report along with before and after photos. I hope this is helpful for you. Sincerely, Dr. Joseph

Alan Gonzalez, MD, FACS · Answer

Hello @Mahdi02, thank you for your question.  When considering the timing of a revision rhinoplasty, it is important to factor in both the healing process and the timeline set by your surgeon. Most surgeons will recommend waiting at least 12 months before undergoing revision rhinoplasty. This allows time for the nose to heal properly and for swelling to subside before performing a secondary surgery. During this period, keep in close contact with your surgeon and inform them of any changes or complications that may arise over time.

It is also important to note that everybody heals differently from one another; so while 12 months is an indicator, some patients may take longer than 12 months for optimal healing results. In these cases, patience is key! Best wishes!

Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Mats Hagstrom, MD (license on probation) · Answer

We can’t really give you any kind of concrete information based on what you’ve posted.
To make an assessment on the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
Continue following up with your provider or consider scheduling an in person. Second opinion consultation. Best,
Mats Hagstrom, MD.

Severe swelling, tightness, and lack of symmetry, 1 year post-op rhinoplasty

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