Is my nose still very swollen 1 month after rhinoplasty? (photo)

You will still have swelling one month after rhinoplasty. In general, swelling is 70% resolved after the first 3 months and the remainder goes down over time. It can take up to 18-24 months to see the final result of your surgery, and the nose will continue to change as you heal. Swelling may be influenced by the following: Whether the procedure was a revision, whether tip work was performed, whether the procedure was open or closed, and the thickness of the patient's skin. I would recommend following up with your surgeon regarding any post-operative concerns, as he or she knows the extent of your procedure and exactly what was performed. I hope this helps, and I wish you the best of luck.

The nose
can be swollen for up to a year or more. Swelling will depend upon the
nature of maneuvers employed, presence of grafts or implants, thickness
of skin, open vs closed, revision vs primary, etc. Kenneth Hughes, MD Los Angeles, CA

It would be unusual to not have some swelling present 1 month after rhinoplasty.  It normally takes 6-12 months for all of the swelling to resolve, so your nose still will change quite a bit over more time.