Is swelling almost a year post op normal? There is no shape whatsoever. (photos)

Hello your nose looks good about swollen you need to wait but you don't need second Rhinoplasty surgery

It is not uncommon for rhinoplasty swelling to take 12-18 months to go away. I would see you surgeon immediately as there are other potential options such as steroid injection to help decrease swelling in the area. I would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!

Swelling after a primary rhinoplasty should be mostly out by a year, but in Asian and other thick-skinned patients, it can be more like 18 months. However, to not improve much after the first couple of months sounds unusual. It may be scar tissue, or your skin's reaction to surgery causing it to not refine more (both of which can be managed if intervened upon in a timely way). The nose getting wide when you smile may just be alar flare though you would need to be examined for this. You should be seen by a rhinoplasty surgeon for further evaluation.

You appear to have thin nasal skin, so the majority of your nasal swelling should be resolved 1 year after rhinoplasty. Up close photos are difficult to evaluate. Consider Re-asking your question with full face photos. Thank you. Dr Joseph

Good Afternoon! I do see the swelling you're referring to. If this was your first rhinoplasty, much of the swelling should be gone around 12-15 months. In thicker skinned patients, I find it critical to use steroid injections and taping in addition to low salt diets to help the skin contract over time. If the area of fullness fluctuates with heat for example or gets better at times, it is likely to be swelling. If not, it may be something like cartilage which is too prominent or scar tissue. This would require a revision to correct. I would re-visit with your surgeon to discuss your concerns to see what can be done. Hope this helps!