18 Months Post-Op Rhinoplasty and My Nose is Constantly Running, is this Normal? Do I Need a Revision?

I had rhinoplasty almost 18 months ago. I'm half pleased with it. The side profile is very nice but the front which I was most worried about the first time is still boxy. I asked to refine the tip but I don't think he went far enough. I think the sides are still too wide and uneven. I also still have a constant runny nose. And blow it 5-7 on average and if I tilt my head forward for to long it runs, and runs immediately if I'm exercising especially with weights. Could revision fix this?

Doctor Answers 3

18 Months Post-Op Rhinoplasty and My Nose is Constantly Running, is this Normal? Do I Need a Revision?

I have performed Rhinoplasty and revision Rhinoplasty for over 20 years and IMHO, the nasal discharge should be evaluated by an ENT surgeon and an allergist.  While it's not unusual to have clear discharge, from the nose, immediately after a Rhinoplasty...this should not be continuing or be severe at 18 months post Rhinoplasty.  Did you have grafts or man made implants used during the initial Rhinoplasty that may have eroded into the interior of the nose causing constant irritation and drainage?

If you do not like the shape of your nose, then a revision Rhinoplasty would be of some value.  Unless there is a suture, graft or implant causing a specific problem revision Rhinoplasty would not address the drainage issue.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Nasal Drainage 18 Months Post Rhinoplasty

If you do not like the appearance of your nose 18 months after your rhinoplasty, a revision should be considered. The cause of your nasal drainage should be evaluated; however, a revision may not be necessary to treat this problem.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Rhinoplasty revision

It sounds like you may bemefit froma small revision of your rhinoplasty to further narrow the tip and sides.

I doubt if the revision will afffect the runny nose.

Could it be that you have developed an allergy coincidently after your surgery? You may need to get a referral to see an ENT surgeon to ask for an opinion.

If you see your plastic surgeon to discuss th results of your rhinplasty, he/she may be able to refer you on to an ear nose and throat surgeon (ENT)

Isolde Hertess, MD
Gold Coast Plastic Surgeon
5.0 out of 5 stars 4 reviews

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