Will swelling go significantly down to look better/smaller than old Rhinoplasty? (photos)

I had a tip revision and alar base reduction to reduce over projection of my nose from my previous rhinoplasty. I'm concerned it is not going to look that much better and am a little concerned I should look for a new surgeon.

Doctor Answers 4

Revision rhinoplasty

At one week out you are way to early in the healing process. You have to give it a year or more for all the swelling to subside.

New York Plastic Surgeon
4.1 out of 5 stars 24 reviews


Thank you for posting your question. After a procedure, your body needs months to readjust and reshape itself. Be patient and follow up closely with your physician to address any concern or discomfort. Best of luck.

Jan Zemplenyi, MD
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Will swelling go significantly down to look better/smaller than old Rhinoplasty?

You need to wait at least a year following revision surgeon to determine the outcome.  Follow up with your surgeon so that he can monitor your progress.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 55 reviews


Thank you for your question and photographs.

It depends on how far along you are in your recovery period. It may take up to a year for all swelling to resolve and for your nasal appearance to settle to a final outcome. Your doctor may prescribe you a Medrol dose pack (steroid) to help reduce the swelling. Healing is often unpredictable and one side may heal quicker than the other and sometimes even nasal bones may shift in healing.  The outcomes may not be as expected.  In some cases a revision may be recommended to refine your outcomes, but I would wait at least 12-18 months so you are fully healed before considering a revision. 
Best of luck in your recovery!

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 64 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.