Only One Half of Nasal Tip Numb? (photo)

Is it normal for only one half of the nasal tip to be numb after rhinoplasty? The side where there is numbness also had a lot more bleeding, and a lot more bloody "crusting". I am paranoid about necrosis since I smoked 2 weeks before the surgery. The area where there is numbness is directly above an area of very black blood. I have cleaned very very gently with hydrogen peroxide, but I am scared to remove the black mass. Thanks!

Doctor Answers 6

Numbness after rhinoplasty

In general, almost all noses are numb right after a rhinoplasty. In most cases its the tip that is numb, but this numbness can extend down to the upper lip, and in rare cases some of the teeth. There are nerves that are cut and stretched during a rhinoplasty, and it takes a long time for those nerves to start working again. This is true of an open as well as closed rhinoplasty, although it tends to be more extensive in open rhinoplasty. This could also be more extensive if a septoplasty is performed at the same time. This, along with the swelling, gives you a stiff, plastic type feel, and can give you an odd smile. However, the nerves will start working and again, and your nose stiffness will go away with time. As the nerves grow back, you may feel some tingling, itchiness and on occasion pain. This takes in most cases months, but can take years in rare cases. Extremely rarely, the numbness is permanent, although I have never seen such as case.
Best Wishes,
Pablo Prichard, MD

Phoenix Plastic Surgeon
5.0 out of 5 stars 47 reviews

Asymmetric healing common after rhinoplasty.

It's not unusual to perceive things differently on one side of the nose or the other after rhinoplasty. All this should balance out as the swelling subsides. There is nothing in the photograph that appears alarming.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Numbness on nose

Numbness of the tip or part of the tip is pretty common with rhinoplasty. It often improves as the swelling dissipates. If concerned, best to see your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Nasal tip numbness after a rhinoplasty

Partial nasal tip numbness after a rhinoplasty is not a cause for alarm and may be quite normal.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Temporary numbness is normal after rhinoplasty.

A little reduction in sensation of the tip of the nose is quite normal after rhinoplasty. Don't worry, its completely temporary! It can involve the entire tip, under the tip, or part of the tip. It is also reasonably normal to have one nostril leak more blood or have more scabs than the other. Sounds like you are doing fine! Keep following your surgeon's post operative instructions and call the office if you encounter anything else that you think is unusual.  

Randolph Capone, MD, FACS
Baltimore Facial Plastic Surgeon
4.7 out of 5 stars 51 reviews

Rhinoplasty healing

  1. Dear droopybrows,
  2. The numbness is normal after surgery and it will continue to be numb for several weeks
  3. The black mass looks like a blood crust, but I can't be sure unless I saw it in person
  4. You can see if you can lift it off, like a scab
  5. If you have urgent concerns, you should see your plastic surgeon just to be sure

Best regards,

Nima Shemirani


Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 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.