Hard lump on the side of my nose. Will it go down?
Doctor Answers 3
Thank you for your question.
It is important to consult with your surgeon about any questions or concerns you may have so they can give you a physical examination. You are still early in your recovery and your nose is still healing and changing, this will continue over the course of a year to year and a half. It takes 6 months for 90% of the swelling to resolve after a rhinoplasty. During this waiting period, several treatment options can reduce the swelling. First, post-operative taping is imperative to decrease swelling and mold the shape of the nose. This can be performed for a minimum of 2 weeks with recommendations commonly for 3 months. Second, a short course of oral steroids (Medrol dose pack) can be beneficial in the early stages to decrease swelling and pain. Third, I commonly use a dilute solution of Kenalog with Marcaine to decrease swelling of the nasal tip. If after 12-18 months, you are still unhappy with your results, I would contact your surgeon or another board certified plastic surgeon for a revision.
Best of luck in your recovery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
Lump on nose after rhinoplasty
Without examining you or seeing pictures it is hard to give you a specific answer. At 4 weeks out you are still very swollen and it is too early to make any judgements regarding the persistence of this area. You may have had a graft placed and this may be what you are feeling. Sometimes after osteotomies (bone cuts) the cut edge can be felt or a callous can form. I would follow up with your surgeon as they know exactly what maneuvers were performed and what may be going on. All the best,
Rhinoplasty at 4 weeks
At 4 weeks you are likely still very swollen. You have to give it time to settle down. Best of luck..
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