Today is day 9 after rhinoplasty and my cast has remove i think my nose is upturned and one side is swelling more than the other one ! Is that normal ? And my uperlip is swelling too when it will be back to normal it will change the nose and make it drop ??
October 26, 2016
Answer: Day 9 after rhinoplasty not satisfied with the result. Hard to tell based on the pictures provided, but that will not change my main message, which is that 9 days is for too early to judge your final results. There is not only swelling in the nose, but also the surrounding tissues as well. Follow your surgeon's instructions and you can monitor changes over the next several months. Good luck.Garrett A. Wirth, MD, MS, FACSWirth Plastic Surgery
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October 26, 2016
Answer: Day 9 after rhinoplasty not satisfied with the result. Hard to tell based on the pictures provided, but that will not change my main message, which is that 9 days is for too early to judge your final results. There is not only swelling in the nose, but also the surrounding tissues as well. Follow your surgeon's instructions and you can monitor changes over the next several months. Good luck.Garrett A. Wirth, MD, MS, FACSWirth Plastic Surgery
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Answer: Rhinoplasty Thank you for your question and photographs.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 extremely early in your recovery period and your nose is still healing and changing, this will continue over the course of a year to year and a half. You probably still have some swelling which can cause the appearance of a lifted tip. 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!Sincerely, James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
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Answer: Rhinoplasty Thank you for your question and photographs.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 extremely early in your recovery period and your nose is still healing and changing, this will continue over the course of a year to year and a half. You probably still have some swelling which can cause the appearance of a lifted tip. 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!Sincerely, James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
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