What could cause fluctuating swelling 8 years post rhinoplasty?

Question

Ever since my rhinoplasty in 2011,I've been experiencing some swelling.My nose is swollen every day when I wake up (about 2-3 times the size).It takes a couple of hours for it to go down,but it never completely goes away.The swelling seems to be worse when I'm somewhere not airy.My nose gets red and swells up.Usually when it's swollen,I'll feel a discomfort in that area.It feels like the swelling is under my skin.I consulted with different surgeons,ENTs & an allergist,no one knows what's wrong.

Jeffrey T. Steitz, MD · Answer

Unfortunately this is something that can be seen after rhinoplasty especially in people with thick skin.  Now assuming that you don't have an implant like goretex or silicone or something else in your nose, then it may be simply be related to the face that you've undergone a rhinoplasty.  While not common, after surgery sometimes you can see daily or weekly fluctuations in swelling.  Most of the time patients will complain that exercise, excess heat, alcohol (especially wine) and excess salt intake will all make the swelling worse.  Try and keep a log of what makes your nose swell worse and try and minimize salt intake less than 200mg per meal and see if that helps.  
Sometimes repeat steroid injections will help keep the swelling at bay.  Almost always this problem will resolve itself but it can be unpredictable at times.  
I know it's a frustrating problem but hopefully this helps shed some light on it for you.

Kenneth Hughes, MD · Answer

Hello. Great question. However, images and an internal examination are needed to provide an accurate assessment to your concerns. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

What could cause fluctuating swelling 8 years post rhinoplasty?

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What could cause fluctuating swelling 8 years post rhinoplasty?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.