I had my rhinoplasty performed 2 weeks ago, my doctor corrected my shifted septum which curved to the right and the hump and he also defined the right tip of my nose as I had previous scar tissue on that side from my first rhinoplasty. I am now experiencing some numbness and hardening on the right side of my nose where most of the work was performed? Is this normal and will be it going down part of the swelling or can it be reoccurring scar tissue??
Post Op RhinoPlasty Swelling, Numbness, and Hardening?
Doctor Answers 6
Postop rhinoplasty swelling, numbness, and hardening?
The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!
Numbness and rhinoplasty
Pablo Prichard, MD
Post op swelling after a rhinoplasty
It is not uncommon to have some degree of swelling to the tip of the nose for the first 12 months after surgery. Some individuals are more prone the this condition including those with thicker nasal skin. Gentle massage may be of some benefit.
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Issues at 2 wks
At two weeks it two early to tell what is going on
Numbness, firmness etc are all normal for some time after surgery
Swelling, Hardness, and Numbness 2 Weeks after Rhinoplasty
Swelling which is always present 2 weeks after a rhinoplasty does cause the hardness you describe. Temporary numbness is frequently present. Your post operative course is normal.