Permanent Lymphatic Problems After Rhinoplasty???

I'm a 26 yr old male 15 months out from a Primary Rhino (bridge/tip work). I am still having episodic swelling in the tip of my nose daily with: heat, exercise, posture, when I wake up. When this happens the tip of my nose bulbs up and gets noticeably bigger. The good news is that it always seems to return to a "not-swollen" state at some point. But it also always swells back up again. I was just wondering if its possible the lymphatics in my nose have been permanently damaged?

Doctor Answers 5

Lymphatics of the nose are not permanently damaged by rhinoplasty.

The nose is plethoric in vascular supply and lymphatic drainage. Swelling is a normal adjunct of surgery it is not evidence of systemic lymphatic damage.

Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Possible lymphatic obstruction to the nasal tip after rhinoplasty

It would be unusual to have a permanent obstruction to the lymphatic drainage to the tip of the nose due to a rhinoplasty.  There is really no treatment for this issue.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Lymphatic Drainage after Rhinoplasty

While tip swelling after rhinoplasty can be very cyclical and episodic and persist for a long time, permanent disruption of the nasal skin lymphatics is not a phenomenon that is a recognized and proven problem in rhinoplasty.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Permanent lymphatic damage after rhinoplasty

Lymphatic drainage should not be disrupted from rhinoplasty and there is nothing in published articles to support the theory. All is well if swelling goes down.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 43 reviews

Swollen tip post rhinoplasty

Tip swelling is often the last resolve after rhinoplasty and it may take more than 12 months.Be patient and it should resolve

Jeremy Hunt,   

Jeremy Hunt, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 120 reviews

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.