Columella pulled tight and painful. 4 weeks post op. (photos)

Question

Had revision closed 4 wks ago after open primary. My columella was hanging but now is FLAT, rock hard, painful and just ugly and messy looking. My front teeth hurt and I can’t rub my lips together due to tightness. Dr says it won’t move or loosen with time. Also says adding a graft to augment the columella could raise the tip even higher. Is this likely? I wanted a long elegant nose, just straightened and not hanging. I did not want a flat, wide and short nose. Suggestions?

Jon Kurkjian, MD · Answer

Thank you for your question. 
With any nasal surgery, the name of the game is patience. At one week, we would expect you to have quite a bit of swelling and bruising still noticeable and may have trouble breathing out of one or both nostrils. By the end of two weeks, typically, you will still be swollen but look more like you have a bad cold, rather than post surgical. Swelling can take up to a year to be completely gone, however, by 9 weeks you will look very good and should see big difference from your pre-op pics.

Columella pulled tight and painful. 4 weeks post op. (photos)

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