hey doctors im now exactly 8 weeks post op rhinoplasty and it seems i have a lot of swelling, but unfortunatly a lot of you have written in other people's answers that most of your swelling should be gone by now. i have thick skin and im really concerned my tip is really round, could you tell me how long is normal to have swelling and could this round shape tip be it? i look like a clown :( thank you all
2 Months Post-Op Rhinoplasty and Swelling
Doctor Answers 11
Typical swelling time following Rhinoplasty
If you read that most of the swelling, after Rhinoplasty, should be gone after 2 months...I could not disagree more. In my 20 years experience performing Rhinoplasty, the nose can and does swell for a minimum of 6-9 months after a Rhinoplasty with the majority of the swelling during the first 3-4 months. Thick skin and an active lifestyle will all lead to a prolonged time of swelling after a Rhinoplasty. I instruct all my Rhinoplasty patients on how to perform daily nasal massage beginning at 1 month to decrease the nasal swelling.
Thick-Skinned Noses Will Get A Lot of Tip Swelling After Rhinoplasty
Thick-skinned noses can really develop and keep a lot of swelling in the tip for a prolonger period of time. The key is whether you feel it is going down at all albeit very slowly. If there is no changes occurring, then you need to go back to your plastic surgeon and consider having some steroid injections into the tip to help the swelling go down and prevent excessive scar tissue forming.
Your tip is still swollen 2 months after your Rhinoplasty Surgery.
I read your concern. Your tip will retain swelling the longest. The majority of post-surgical swelling of your bridge is likely gone now, but your tip will remain swollen for 6-12 months after your rhinoplasty Surgery.
You may want to ask your surgeon if a steroid injection might be helpful for you.
Regards from NJ.
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Everyone is different but in general most of the swelling is resolved in the first few months. However, in patients with thick skin it can take much longer to see the final result. I have had patients with thick skin continue to have changes well beyond a year after surgery.
Swelling with thick skin after rhinoplasty
Swelling should be resolving by two months after rhinoplasty, however with very thick skin, results can take up to six to twelve months to allow the skin to shrink and contact around the new framework of the nose. Nothing to do now but be patient and wait it out.
Best of luck,
Swelling after rhinoplasty
You are right, most of the swelling after rhinoplasty should be down by now, but for some people it may take up to 6 months. Since you have thicker skin, it takes a little longer for the skin to redrape over the nasal skeleton. If you still have a bulbous or broad tip at 2 months, I think it would be safe to get some kenalog (anti inflammatory steroid) injections to help speed up the healing process. I would make an appointment with your surgeon and bring up these concerns.
I think you'd be happier if you heard it from him/her, and get some steroid injections.
Tip swelling takes time to decrease
At 2 months following rhinoplasty, you are still very early in your recovery. With regards to your concerns about the size of your nasal tip, it is just too early to draw any conclusions-but certainly you still have a lot of swelling which is normal.
Recovery after rhinoplasty will vary based on the person, characteristics of the nasal tissues and what was done during surgery. It can take somewhere in and around 12-18 months to see the final results. The areas with thicker skin in the nose such as the tip, alar rims and radix will require longer to settle. Also there appears to be a linear decrease in swelling for the first several months followed by a period where the swelling fluctuates (sometimes little or no swelling and other times more swelling) before the nose settles.
It's hard but important to stay patient during your recovery and to be diligent attending your follow-up appointments with your surgeon.
Swelling can persist for up to a year after rhinoplasty. Albeit, most of the swelling should come down within 2-3 months. But this is patient specific. It also depends upon the extent of work and yoru psot-op acitivity level.
Too early to get the final results
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.
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, but longer with a thick skin. Even then, your nose will keep shaping itself to complement your face for better results in the years to come.
My best recommendation 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 resolves, 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 remain positive!
Ali Sajjadian, MD FACS