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

Question

I had a bump removed via closed surgery and ive been feeling a pressure like sensation around my nose mostly on the upper part of the tip. This has been going on for 2 months now but my doctor brushed it off and said that its normal. Is it normal? Could it be a sign of nose collapsing? Also i have never hit my nose

Eric M. Joseph, MD · Answer

Thankfully, none of our patients have had issues of chronic nasal pressure after rhinoplasty surgery. Since you desire to have clarity in this area, you may wish to consider visiting another reputable rhinoplasty specialist for a second opinion. A copy of your operative report might be helpful. Occasionally, permanent sutures that may be used in the nasal tip for reconstructive purposes may lead to chronic inflammation. Your operative report would document the type of suture material that was used during your surgery. Wishing you well moving forward. Sincerely, Dr. Joseph

Felipe Amaya, MD · Answer

It is relatively common to experience some sensation of pressure or tightness in the nose up to a year after rhinoplasty, especially after removing a bump. The structure of the nose continues to adjust and remodel, and internal scar tissue keeps maturing. This pressure sensation can be due to internal healing, where tissues and cartilage are still stabilizing, and it usually decreases over time.
However, if the pressure persists or worsens, it might be helpful to consult your surgeon again to rule out any issues, such as excessive scar tissue development or changes in structural support. Although rare, in cases of structural weakness, a collapse could occur, though this would usually present with additional signs, like difficulty breathing or a noticeable change in the external shape of the nose. Your doctor can perform an examination and possibly imaging to assess the internal condition if needed.

Peter Chang, MD · Answer

Thank you for your question!

Without pictures it's hard to determine what's "normal". Understand that swelling can take upwards to a year to resolve. I would continue following the instructed post operative care from your doctor. 
Best of Luck!

Pawel Szychta, MD, PhD, DSc · Answer

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.

Mats Hagstrom, MD (license on probation) · Answer

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

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

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