Swelling 4 years after rhinoplasty tip graft, could lymphatic system be damaged?

Hello! Thank you for your question. As far as I can understand from your question everyone's face can be swollen due to the circumstances. It would be much better to talk about it with your surgeon.Best Regards!

Generally, intermittent and persistent nasal swelling many years after rhinoplasty surgery could be due to a foreign body in your nose. Sometimes, surgeons may use permanent nasal stitches for the sake of reshaping and rebuilding your nasal tip cartilages. Some people can be sensitive to permanent suture material and intermittent swelling may ensue. If you cannot discuss these concerns with your rhinoplasty surgeon, it may be helpful to get a copy of your operative report and to consult with another reputable rhinoplasty specialist. I hope this is helpful! Sincerely, Dr Joseph

Photographs would be very helpful----showing your nose at its best and at its worst
It could be nasal tip skin quality/quantity/fascial circulation/etc.
Most likely this scenario sounds like poor tip skin support
Hope this helps