Puffy Nose After 6 Months Rhinoplasty?

Hi all, I am 26 years old and I had open rhinoplasty from 6 months to reduce the tip size and fix nasal septum deviation ,my tip now is very puffy , the swelling is to the max in the morning and when I am in period , i am very depressed , Is that normal?

Doctor Answers 4

Six Months

I do not like to hear about the "depression" part.  Take heart, after another six months of healing and follow-ups, you may not need further surgery or perhaps just minor surgery.

San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Post-Rhinoplasty Puffiness

6 weeks after a Rhinoplasty is far too early to see any significant change to the tip. The nose continues to heal for months following a rhinoplasty (it can actually take up to one year). As I like to explain to my patients, during a Rhinoplasty the cartilage is manipulated and refined. The skin itself then needs to "re-drape" over the new shape of the cartilage. The new cartilage shape may be smaller in sizebut the skin then needs time to mend itself and heal. With time you will see the new shape of your tip. Patients with thicker skin also have longer and more pronounced swelling after Rhinoplasty. Hope this helps.

Swelling after rhinoplasty

The swelling associated with rhinoplasty will vary according to the skin thickness. People with thicker skin will take longer to heal than people with thin skin. It is not unusual to have fluctuations in terms of swelling, just like you described. This fluctuations should decrease in the next 6-8 months.

Pictures would be helpful to determine what skin type you have. Steroids injections can be used to help with target areas of swelling, but must be used judiciously.



Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 112 reviews

Swelling after open rhinoplasty

It is always tough to know when the edema is truly out of the nose.  In general, an open rhinoplasty will heal acutely from 1-3 months, then more or less plateau for 3-9 months and by 12 -14 months be completely healed.  However, you surgeon can answer the question of where you are in the cycle of edema so I would go back and discuss with them.

Jay Calvert, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 50 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.