1 month post-op rhinoplasty, Nose looked better at cast removal than now, advice? (photos)

This is completely normal and expected during healing. The changes you're describing are due to swelling and should resolve over the next year. Best of luck!

It's still too soon to tell what your final results will be. You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and look beautiful in the end. If, one year from now, you are unhappy with your nose, then that is the time to think about a revision procedure. Right now, concentrate on other things you like to do and let your nose and under eyes take the time to heal. I hope this helps.

You have to give yourself some more healing time.  Your nose and surrounding areas are going to be swollen for a while and you should be consulting the surgeon that performed the procedure but give yourself some time before going back in so some of it can subside. It can take up to a year for final results.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

When the splint first comes off, for a very brief time you get glimpse of an approximation of the outcome of the surgery. Then very quickly the tissues which were compressed by the tape and splint fill up with fluid (swelling).  This is the swelling that takes many months to completely resolve. Try to be patient and let the healing occur.  With time your nose will probably become smaller and more refined. If you are very concerned ask your surgeon about it. Good luck.

Hi noserhino13,The famous singer Tom Petty put it best when he said that "the waiting is the hardest part." It certainly is. Depending on what was done and each patient's own skin thickness and healing characteristics, there can be great variability in swelling. In general, it takes a year for all of the swelling to go away, but the vast majority of it is gone within the first 2-4 weeks. It will get better for sure. You should also discuss your concerns with your surgeon. If applicable, sometimes you can get a steroid shot that may reduce the swelling faster.Have a great day!Michael M. Kim, MD

If you were happy when the splint came off, then it is likely going to go back down to that size when the swelling subsides. Best of luck.