Is my nose asymmetrical 3 days post op? Is it just swelling? (Photo)

Hi! I am 3 days post op after having a rhinoplasty and one of my turbinors fixed ( my left nostril ) and since coming put of surgery my right nostril seems a lot larger/ more swollen and it's pushing my nose slightly to the left. Do you think this is down to swelling or actual asymmetry?

Doctor Answers 5

Is my nose asymmetrical 3 days post op? Is it just swelling?

It is impossible to tell, at this point, what is causing the asymmetry.  It very well could be swelling.  Once the cast/tape is off, your surgeon will assess it.  Share your concerns with him/her.  Swelling can come and go for several months, but each day it will get better.  Just hang in there and follow the directions of your surgeon.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Swelling at 3 days post op is anticipated

Thank you for your question!

It is understandable that you are concerned. Changes after rhinoplasties vary with every patient and what you are experiencing is normal especially that swelling takes time to subside as it masks the results of your surgery.

Unfortunately, with the pictures posted, the lack of surgical details and the inability to perform a physical exam it is not possible to provide you with a definitive answer that could be medically sound.

It is important to keep in mind that it is early to pass a judgment. Usually, a year is required before formulating how your nose will be. Even then, your nose will keep shaping itself and to complement your face for better results in the years to come.

My best recommendations at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling subsides, more definition and shape will be achieved and you should be happier with the results.

Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.

Congratulations on your surgery and please remain positive!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Asymmetry post op Rhinoplasty?

Dear Karina,
Thank you for your post.  It is very early in your post-op period, but yes, it does look a little to the side.  Whether this is swelling or something else is hard to know right now.  Follow up with your plastic surgery and he will remove the splint. Keep your head elevated and a fair amount of swelling goes away in the first couple weeks, enough to decide whether it is straight or not.
Best Wishes,
Pablo PRichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 47 reviews

Asymmetry at the nasal base is common in the early postoperative period following rhinoplasty surgery.

Your concern is well visualized in your photos, but 3 days postoperatively is too soon to judge whether this will be problematic or not. Sit tight till your dressing is removed, and you should address your concerns with your surgeon.

Hope this helps you.

Dr. Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 418 reviews

Too early

There is too much going on to assess symmetry.  You have steri strips in place that can pull the nose to one direction and you have a dorsal splint and possibly internal splints.  Best to wait until the splints are removed to assess symmetry issues. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.