I had an open rhinoplasty three weeks ago, and I'm concerned about the current results. My goal for the surgery was to remove the side and front humps around my eyes and raise the tip. While I'm very satisfied with my new profile, and the bone is much slimmer around my eyes, the bottom 2/3 of my nose seems much more bulbous, and my tip appears way rounder (maybe kind of droopy too) than even before the surgery. Can I expect this to adjust with time? Is this still swelling? I don't regret having had it done, but I just hate that after all this, I still feel self conscious about my nose. Thanks!
Nose Looks More Bulbous and Round After Rhinoplasty
Doctor Answers 15
Time is your friend
It has been about a month since you posted your question. Although I typically advise my patients that it may take 6 months to achieve your final rhinoplasty shape, usually at about 1-2 months my patients are 75% of the way there.
You have likely noticed significant improvements in the swelling. This should continue to improve over the next 2 -3 months.
Swelling Following Rhinoplasty
The most likely explanation for your rounded bulbous nasal tip following rhinoplasty is severe swelling. It’s not unusual for patients to have significant swelling following rhinoplasty surgery. This swelling lasts for up to a year and has a dramatic impact on the nasal tip. The nasal tip is the last area to have resolution of swelling following rhinoplasty.
Nasal tip swelling can be especially pronounced when rhinoplasty is performed using an open technique. This procedure interrupts the lymphatic drainage of the nasal tip and causes prolonged swelling.
Massage and taping can help minimize swelling following this procedure. It’s important that you discuss this issue with your surgeon who can provide you with reassurance.
Nose looks more bulbous 3 weeks after a rhinoplasty
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Swelling of the Nose After Open Rhinoplasty
The swelling of the nose after open rhinoplasty takes longer to settle than swelling after endonasal (internal incision) rhinoplasty. This is because the entire skin-soft tissue envelope was elevated off of the underlying cartilage and bone. It takes an extra few weeks for the swelling to resolve, and most of it accumulates in the tip. You should expect improvement with time. Do stay in close contact with your surgeon, and let him/her know your concerns. Good luck and be well.
After open rhinoplasty, approximately 80% of the swelling resolves within the first two weeks. The remainder takes months to completely dissipate, particularly in the tip. If the fullness, however, is firm, it may represent scar formation under the skin (that would warrant a steroid injection at about this time) or the top of the septum that was not removed during surgery. Fullness above the tip is know as a pollybeak deformity and the most common cause of this is inadequate reduction of the septal cartilage that makes up the lower part of the bridge.
Hope this helps.
It's early in your recovery after rhinoplasty
At three weeks following rhinoplasty, you are still very early in your recovery. Recovery after rhinoplasty will vary based on the person, characteristics of the nasal tissues and what was done during surgery. Around the 4-6 week mark, most patients are able to appreciate most of the changes from surgery as a significant amount of swelling has resolved. However, it can take somewhere in and around 12-18 months to see the final results. The areas with thicker skin in the nose such as the tip, alar rims and radix will require longer to settle. Also there appears to be a linear decrease in swelling for the first several months followed by a period where the swelling fluctuates (sometimes little or no swelling and other times more swelling) before the nose settles. Again, after 4-6 weeks, although you will continue to notice changes in your nose, they are subtle and imperceptible to most other people.
Bulbous Tip 3 weeks after Rhinoplasty
It will take some time for the swelling to dissipate. I would wait a good 4 to 6 months. If by that time you still don't like what you see, you may want to ask your surgeon what he or she suggest. You also might want to get a second opinion.
Swelling and Changes after Rhinoplasty
Thank you for your question. The reality with rhinoplasty is that swelling takes weeks to months to resolve completely. While the majority of the swelling (for a primary case) will resolve in the first three or four weeks, the rest may take up to 6 or 9 months. And the final result, after all the settling, etc., is generally between 9 and 12 months. Along the way, massage or even small injections of a steroid can help with swelling. Please stay in close touch with your surgeon, and rest assured that this is normal. Best of luck!
Healing after rhinoplasty
Three weeks after rhinoplasty surgery one can expect significant swelling still present at the tip. In some patients assigned can be so significant that it appears more bulbous and round after surgery. During this time, is important to keep your follow-up appointments with your surgeon as a surgeon may recommend steroid injections to help control some of the swelling.
It takes time for the nasal tip to improve
After a rhinoplasty, it may take 12 months or more to see the final results of tip modification. The initial swelling should be gone within 3 weeks, but the swelling due to healing will take much longer. During this time, skin will slowly contract and the body will fill the area under the skin with healing tissue that hides the underlying changes. Although major adjustments can be seen immediately, the healing tissue must undergo a maturation process that eventually makes it thin and soft - revealing the final result.
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.