8 Months Post Op - Should I Be This Swollen (Thick Skin)? Pls Comment if You Think It Looks Different? (photo)

Hi Doctors, I realize it would be easier to answer my ques with pics showing the progress of my nasal tip surgery. I undertook the surgery in May 2012 (8 months ago) and I am still very, very swollen. I am completely aware thicker skin takes longer for the swelling to go down, but I would just like an opinion as to whether or not you believe my swelling WILL go down! I am very worried and I have been extremely patient. In all honesty, I thought my nose would be much smaller by now. Pls help! :)

Doctor Answers 6

Tip Swelling at 8 Months in Thick Skinned Individual

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

    First, I must say that your nose does look better than the preop, and I think you are still swollen.  I would wait a minimum of 12 months before considering any intervention.  Kenneth Hughes, MD Los Angeles, CA

8 Months Post Op - Should I Be This Swollen (Thick Skin)? Pls Comment if You Think It Looks Different?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

I believe based upon the very limited info and action/life posted photos you needed a FULL RHINOPLASTY not a tip rhinoplasty. Sorry for your unhappiness. 

Tip swelling

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Thicker skin noses in general need plenty of time to develop their final shape – you may wish to see your surgeon about Kenalog injections

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Tip issue

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

You may very well still have swelling but you will be limited by the thick tissues that you have.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Bulbous Tip

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


You definitely have a persistent bulbous tip. This will not go down regardless of waiting and or steroid injections. You would require a revision rhinoplasty with defatting of the tip and cartilage grafts to refine and reduce the bulbous tip.

See link below.


Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Persistent swelling of nasal tip after rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Your tip does look swollen still.  It would be helpful to see how it was shortly after surgery and the recovery phase.  If the tip looks more swollen many months after surgery and has not subsided then there is a chance some of this swelling is related to the formation of scar internally.  At this point I feel it is reasonable to inject a small dose of steroid such as Kenalog 10 to see is some of the swelling may subside.  Its best to be very conservative with the steroid. 

Benjamin Chu, MD, FACS
Honolulu Plastic Surgeon
4.8 out of 5 stars 107 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.