I had an open primary rhinoplasty four months ago to refine my tip (ps used sutures and strut graft) but it doesn't look any smaller than before. It's big, hard and even overprojected looking. My doctor said if its hard then it's still swollen. Will it eventually soften up and decrease in size? Or, should I consider a revision after it's done healing? It's hard to beleive that my tip is 40% still swollen.
October 22, 2018
Answer: Tip Swelling and Recovery Various factors contribute to swelling after rhinoplasty. Surgical delicacy, lifestyle, allergens, smoking, taping, nasal skin thickness and caring all contribute to the extent of postoperative swelling. A nose job shows its final result in 1 year. It sometimes even takes up to 2 years for some patients for their nose to have its final shape post surgery. Typically, you get operated, have your cast removed in 5-7 days and will have your nose swelling start to decline with time. I generally tell my patients that 70% of swelling will be gone in 1 month, 90% in 3-6 months, 99% in 1 year and 100% in 2 years. The thicker your nasal skin, the longer your swelling takes to go away and hence the longer your recovery period. The thinner your skin is, the shorter this period will be and the quicker you will see your final results. Although the surgery is nothing the patient can control (other than choosing the right surgeon), other factors can be controlled. To prevent excessive swelling and promote healing, one should avoid smoking, avoid trauma, try to be away from allergens and use long-term tapings with proper massage (under control of his/her surgeon) to control edema and enhance the healing process. Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
Helpful
October 22, 2018
Answer: Tip Swelling and Recovery Various factors contribute to swelling after rhinoplasty. Surgical delicacy, lifestyle, allergens, smoking, taping, nasal skin thickness and caring all contribute to the extent of postoperative swelling. A nose job shows its final result in 1 year. It sometimes even takes up to 2 years for some patients for their nose to have its final shape post surgery. Typically, you get operated, have your cast removed in 5-7 days and will have your nose swelling start to decline with time. I generally tell my patients that 70% of swelling will be gone in 1 month, 90% in 3-6 months, 99% in 1 year and 100% in 2 years. The thicker your nasal skin, the longer your swelling takes to go away and hence the longer your recovery period. The thinner your skin is, the shorter this period will be and the quicker you will see your final results. Although the surgery is nothing the patient can control (other than choosing the right surgeon), other factors can be controlled. To prevent excessive swelling and promote healing, one should avoid smoking, avoid trauma, try to be away from allergens and use long-term tapings with proper massage (under control of his/her surgeon) to control edema and enhance the healing process. Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey
Helpful
July 24, 2018
Answer: Swelling and hardness this is difficult to answer without seeing pre op and current photos for comparison but 3-4 months is very early and especially if you had thicker skin you Rhinoplasty will be in it “infancy “ in terms of evolution Swelling will continue to settle over 12-14 months but if structural grafting has been used ( most modern rhinoplasties) then the firmness will remain long term which is a good thing and not a bad thing
Helpful
July 24, 2018
Answer: Swelling and hardness this is difficult to answer without seeing pre op and current photos for comparison but 3-4 months is very early and especially if you had thicker skin you Rhinoplasty will be in it “infancy “ in terms of evolution Swelling will continue to settle over 12-14 months but if structural grafting has been used ( most modern rhinoplasties) then the firmness will remain long term which is a good thing and not a bad thing
Helpful
July 22, 2018
Answer: Tip swelling and firmness after a rhinoplasty Tip swelling and firmness after a rhinoplasty can last about a year depending on the degree of surgery to the tip and the use of grafts. There is no doubt that when grafts are used such as a columellar strut graft the tip can feel quite firm for longer and when it does soften it may be a little firmer than you have been used to in the past. It is important to understand that the strut graft is used for very important reasons to maintain the tip support and prevents the tip dropping in the future. It is best in the early stages simply to be patient and take guidance and reassurance by keeping in touch with your surgeon.
Helpful
July 22, 2018
Answer: Tip swelling and firmness after a rhinoplasty Tip swelling and firmness after a rhinoplasty can last about a year depending on the degree of surgery to the tip and the use of grafts. There is no doubt that when grafts are used such as a columellar strut graft the tip can feel quite firm for longer and when it does soften it may be a little firmer than you have been used to in the past. It is important to understand that the strut graft is used for very important reasons to maintain the tip support and prevents the tip dropping in the future. It is best in the early stages simply to be patient and take guidance and reassurance by keeping in touch with your surgeon.
Helpful