Is pain in a columella incision part of the healing process or a sign of infection four months post op? What can I do for pain?

Dear alli_104, Thank you for your clinical post. Rhinoplasty surgery can be either open or closed. When work is performed on the nasal tip as well as the bridge there is definitely a significant amount of tip swelling. For an open approach there may have been tip support grafts performed and...

Hello,Its difficult to assess based on your photographs whether your nose was relatively short prior to surgery. In my experience, lengthening the nose is performed with cartilage grafting either from the septum or from the ear. It is commonly performed and gives patients excellent and...

Sorry to hear about the pain after your surgery. The nasal and facial sensation is from the trigeminal nerve. Injury to these nerves can happen with any facial and dental trauma or surgery. Pain syndromes relative to the trigeminal are located in the forehead, eye, mid and lower face, teeth, ear...

 A rhinoplasty procedure can accomplish narrowing a wide nose. To narrow wide nasal bones requires osteotomies placed in them. A tip rhinoplasty is required to narrow the nasal tip cartilages which usually include the conservative cartilage removal, and suture techniques. An alar-plasty is ...

At this VERY early postop time frame (3 WEEKS!) you need a degree of patience. If after 6 months still with these issues best to consider revision.....

It is extremely unlikely that you caused any major damage to your nose this far along in your healing process . The tenderness may have just been caused by irritation. It doesn't sound worrisome, but if you are concerned, you should talk to your physician and see what they advise.