Numbness after rhinoplasty 1 year post op I am devastated. No improvement?

Numbness after nasal surgery is extremely common.  It usually resolves in a year without any medical intervention.  Usually what happens is a gradual reduction in the area that was numb.  

Numbness after cosmetic surgery is very common. Rhinoplasty involves use of local anesthesia medications to help with postoperative pain and swelling and particularly to reduce bleeding. The approach to anesthetizing the nose (in addition to general anesthesia for sedation and pain management) may include nerve blocks. There is a nerve called the infraorbital nerve that comes out the cheek bone and provides innervation to the side of the nose, part of the tip, and eventually to the upper teeth. It would be very unusual to actually injure/lacerate this nerve with an injection nerve block. Some people's numbness may take a year or more to resolve. However, if you remain concerned at this juncture, you could ask to be referred to a neurologist for some testing. There may or may not be corrective procedures that might be considered, as permanent numbness from this surgery is very rare, but at least you may find some reassurance in getting additional information.

Numbness takes a year to reolve, and sometimes even up to 2 years. Diabetic patients take longer in general. The numbness is caused after any surgery because of a separation of the skin from the underlying structures. The nerves need to recover and regenerate, and there is no treatment to speed the process up. If you only had rhinoplasty or septorhinoplasty then permanent numbness would be extremely unlikely. Best wishes in your recover.