Constant pressure feeling on the surface of the nose 9 months post rhinoplasty, is it normal?

The pressure-like sensation you’re experiencing around your nose, particularly at the upper part of the tip, can indeed be normal following a closed rhinoplasty, especially if it has only been two months since the procedure. Swelling, tightness, or pressure sensations are common during the healing process. It can take up to a year (or even longer) for swelling to fully subside and for the final shape and feel of the nose to settle after surgery. That said, it’s always good to remain vigilant about changes and symptoms during recovery.
Here’s what may be causing the sensation:1. The tip of the nose is one of the last areas to fully heal, and internal scar tissue formation can create a sensation of tightness or pressure. The healing process causes changes in the tissues, and this can sometimes result in discomfort for several months.2. Many patients report feeling pressure, numbness, or unusual sensations (like tingling) as their nerves heal and tissues settle. These symptoms are typically part of the normal recovery process.
Regarding your concern about nasal collapse: - Alar collapse or structural issues usually present with symptoms like difficulty breathing, visible changes in the external appearance (such as a pinched or sunken look), or the nostrils narrowing when breathing in. If you’re not experiencing any breathing problems or changes in the external appearance of your nose, a collapse is less likely.
However, if you're still concerned about the possibility of collapse or other complications:1. Get a Second Opinion: If your symptoms persist or worsen and your current doctor isn’t taking your concerns seriously, it may be worth seeking a second opinion from another rhinoplasty specialist to ensure everything is healing properly.2. Monitor Symptoms: Keep track of any changes in the sensation, shape, or function of your nose, especially if new symptoms like breathing difficulties arise.
While the pressure sensation you're feeling is likely normal at this stage of healing, staying in touch with a medical professional and following your recovery closely is always a wise step.

Most people will experience a change in sensation after surgery.
Any incision will have some impact on cutaneous nerves creating some change in skin sensation.
Based on the information provided, we can’t really begin to make an assessment.
Most people eventually get used to the changes as being the new normal.
I doubt your nose is about to collapse.
I don’t think there’s much your surgeon can do about it at this point.
If you’re Aesthetic outcome is good then it’s probably best to leave things alone.
Best,
Mats Hagstrom MD