My columella is swollen after open Rhinoplasty. Any suggestions? (photos)

Question

I had my open rhinoplasty done 3 weeks ago, my surgeon took a picture of my nose in surgery when he was done, the columella did not look swollen then but looks swollen now, will my columella shrink up like the photo in my surgery? If not what are the options I have for a hanging columella? I have attached a picture of my nose in surgery (right) with a photo of my nose now (left)

Darryl J. Blinski, MD · Answer

Swelling in the columella is very very common after the "open" rhinoplasty technique due to the incision in the columella causing delayed lymphatic drainage. This swelling can last for months. As reading ALL your postings I believe you may not have understood the healing phases following rhinoplasty, especially using the open technique. Maybe an in person discussion with your surgeon is NOW indicated.

Jeffrey Epstein, MD, FACS · Answer

Far too early to determine just how things will heal.  The last area to have the swelling resolve is the bottom one-third of the nose.  Sometimes a small injection of Kenalog can help with the swelling.

My columella is swollen after open Rhinoplasty. Any suggestions? (photos)

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