Why is my Nose the Same Size Two Weeks After an Open Rhinoplasty?

The final results from a rhinoplasty take time to become apparent. The nose undergoes significant changes in the first 2 to 12 weeks following rhinoplasty. The swelling gradually dissipates over the first several months and thus the appearance of the nose changes gradually.
* When the cast is removed after one week, the nose will look swollen.
* Usually by the end of the second week, the swelling and bruising have subsided enough that the casual observer will not readily notice that the nose has been operated on. Usually the nose will look large to the patient at this point.
* To the patient, the nose will look swollen or "puffy" for several months.
* By about 3-4 months, the majority of the swelling will be gone but will look larger in photographs.
* It can take as long as a year for the final shape to become apparent
If you have any questions as to whether your nose is healing at the appropriate rate, schedule a follow-up appointment with your surgeon.

It’s not unusual for patients to experience significant nasal swelling following rhinoplasty. This swelling can cause the nasal size to appear unchanged or even larger than it did pre-operatively. Most patients will note severe swelling for 2 to 4 weeks following surgery.
                Several factors including the use of open rhinoplasty, fractures of the nasal bones, thickness of the nasal skin and a previous rhinoplasty have been associated with prolonged swelling.

                Swelling will persist in most patients for at least one year following surgery, with the nasal tip being the last site to experience resolution. For this reason, revisional rhinoplasty should not be undertaken for at least a year following the original procedure. In the immediate post-operative period, nasal splints, elevation of the head, and ice can be used to minimize swelling.

                It’s important that you maintain good communication with your surgeon. Your surgeon should be able to reassure you and alleviate your anxiety. 

Hello,Yes, the swelling will subside in the upcoming months and your nose will be smaller. It usually takes 1-3 years for the swelling to fully go down after a rhinoplasty. The tip takes the longest time to heal and mold to the new framework because it is the thickest skin of the nose. The skin over the profile is thinner than the skin over the tip. Patience is required during this healing phase. Give it some time and in a couple months if you still don't feel confident consult your doctor.Best of luck,Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210