8 weeks post-op my nose looks crooked, is this just swelling? (Photos)

Question

It's been 8 weeks since rhinoplasty and my nose now looks more swollen than in the first 2-3 weeks, especially on the right side of the middle of the bridge and the left side of the tip, which makes it look crooked. Is this just swelling or is it something more concerning?

James Murphy, FRCS(Plast) · Answer

In order to fully reassure yourself, you probably need to consult with your surgeon but, in my experience, it is not unusual for people to have differing amounts of swelling on each side of the nose as they recover. This can give the nose an asymmetric or deviated appearance and your surgeon should be able to reassure you that things will settle down if they are left alone. I would suggest you make an appointment to see your surgeon and try not to worry too much in the meantime. Best of luck

Tanveer Janjua, MD · Answer

The swelling can sometimes get worst later in the healing phase. Make sure to avoid vigorous exercise, too much salt or sun exposure. Give it at least 3 months before intervening. For now if your surgeon feels that right side is more swollen in the middle third of the nose then a steroid injection might help. Mild crookedness is usually not noticeable. If it gets worst over the next few months then you will need some kind of revision. RegardsDr. Janjua

Eric M. Joseph, MD · Answer

In general there is a lot of swelling in the lower third of noses 2 months following rhinoplasty, so it's conceivable the bulge along your lower right bridge may be asymmetrical swelling. Was your nose straight before your rhinoplasty? Consider re-asking your query with before photos, and cvertainly bring your concerns to your rhinoplasty surgeon. Wishing you well moving forward. Dr Joseph

Thomas Trevisani, MD · Answer

Without pre-op photos - it is impossible to give the best answer. Every patient has a different rate of swelling resolution. I would give it at least 6 months and then re-evealute your opinion of the result. If at that time- you are still concerned, and you are able to elicit the specific areas, then you can approach your Surgeon for revision . At that time you may also consider a second opinion. I would like to see your length shorter, your tip- smaller and refined, and your profile- silty more feminine.

Steven Wallach, MD · Answer

Yes, your nose does appear crooked in the middle third of the nose. Some of this could be related to swelling.  Best to give it more time to heal. If it is still crooked, then you might need further surgery.

Brooke R. Seckel, MD, FACS (retired) · Answer

The nasal tip can remain swollen for many months after rhinoplasty in the final result of a tip rhinoplasty is usually not seen until one year after surgery.  I recommend that she see her rhinoplasty surgeon and ask if you may begin massaging his on the elevated portion of the bridge on the right side.  Your early in recovery and in some cases this can help.  I would not think about a revision until you are almost a year postop.

8 weeks post-op my nose looks crooked, is this just swelling? (Photos)

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