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Good afternoon. After injury/surgery to the nose, it can become REALLY swollen, and this swelling can take a LONG TIME to resolve (up to 1-2 years to fully resolve). The swelling typically peaks about 72 hours after injury/surgery. After that, it progressively improves, with most swelling gone by 2-3 months. Some minimal swelling can linger for up to 2 years though. You can keep your head elevated as much as possible for the first month postop, but otherwise just give things time. I constantly remind all my rhinoplasty patients how important it is to be patient after rhinoplasty surgery as it can take months to even years to see what the final nose will look like. Hope this helps! Best, Dr. Donald Groves Plastic Surgeon
I agree that you will need cartilage grafts to help push down the tip of your nose. If you had previous breathing issues it is likely that the septal cartilage has been harvested and you may end up requiring a rib cartilage graft to push the tip downward. If there is no breathing...
I doubt that at three months after rhinoplasty you removed a piece of cartilage. If concerned of course you should discuss this with your surgeon.
Because your corrective surgery is related to your cleft lip it may be covered by insurance. Most insurance companies will cover this through age 18. Talk to your Surgeon's office about seeking authorization for coverage. It will depend on the company and the type of policy you have now.