its been 9 months since i had my rhinoplasty operation, and i still have quite a bit of swelling on my sidewalls and tip., i have gotten a few steroid injections within 3 months apart, and a few days after those injections my nose looks amazing , but a few weeks later my nose swelling up again. any help here? my sodium intake its pretty high because all the foods i eat ive realized are pretty high in sodium, will cutting back on sodium for a while help my swelling go down a lot? The pictures i have posted shows how my nose looks when it is relaxed, and the other one when i scrunch up my tip. it doesn't indicate how my swelling went down...
Much Rhinoplasty Swelling After 9 Months- Normal? (photo)
Doctor Answers 5
Your photos are taken presumably very close to your face and give a fish-eye view i.e. distorted. However, it looks as though you have a very thick skin and moderate amount of scarring which leads to fluid retention in your nose. This is a normal process for your type of nose. The skin should have been thinned and steroid used earlier on to prevent scar formation.
Thick skin with prolonged swelling
Certainly, other factors can add to swelling including, as you mentioned, a high salt diet and perspiration during the warmer months. As the nasal tissues heal, they will become less sensitive to these factors.
Also there appears to be a linear decrease in swelling for the first several months followed by a period where the swelling fluctuates (sometimes little or no swelling and other times more swelling) before the nose settles. Again, after 4-6 weeks, although you will continue to notice changes in your nose, they are subtle and imperceptible to most other people. It's hard but important to stay patient during your recovery and to be diligent attending your follow-up appointments with your surgeon.
Much Rhinoplasty Swelling 9 Months after Surgery
Swelling can be present 9 months after surgery in patients like you with thick skin. The fact that nasal appearance still changes indicates that healing is still progressing. Hopefully you will achieve the desired result.
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Swelling at nine months
Based on your photos it appears that you have thick skin. Thicker skin noses in general need plenty of time to develop their final shape – you may wish to see your surgeon for additional steroid injections if he/she feels it is safe to do