Is this a septum hematoma after rhinoplasty? (Photo)

Question

It's been been 10 days since I had my rhinoplasty and both sides wall of my septum are very swollen. It does not hurt. However, I can barely breath out but I can absolutely not breath in. Is this normal? Is this a case of septum hematoma?

Kenneth Hughes, MD · Answer

Call your plastic surgeon's office to evaluate this.  If you have a septal hemartoma, you need to have the area drained as soon as possible.  Hopefully you already did this.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question! It's much too early to worry about your results considering that you had your surgery done 10 days ago.  At this point you are most likely experiencing post-op swelling, which is preventing you from seeing final results. Swelling may take 6 to 12 months to completely resolve. In the meantime, you may see contour irregularities. Breathing difficulties should subside withing one month. Give it more time for your nose to "settle." 
 An in-person exam with a board-certified plastic surgeon would be the best way to assess your needs and obtain expert medical advice. Best of luck!

Steven Wallach, MD · Answer

It is difficult to tell you if you have a septal hematoma from the photos, but if you have one it is an emergency and should be evaluated.

Robert Mounsey, MD · Answer

A septal hematoma is an emergency. It is very important to drain the collection of blood and make sure the underlying cartilage is viable and no infection develops. If you suspect something like this it is best  to go the the nearest emergency department immediately for consultation.

Francis R. Palmer, III, MD (retired) · Answer

Is it very difficult to see the septum from the photos provided but a Septal Hematoma is a serious issue that can cause injury and dissolution of the supporting nasal septal cartilage.  For that reason you should have the nose examined by your Rhinoplasty Surgeon ASAP.

Is this a septum hematoma after rhinoplasty? (Photo)

Answers (5)

Answer: Septal Hematoma is a Rhinologic Emergency

Answer: Septal Hematoma is a Rhinologic Emergency

Answer: Septum Hematoma?

Answer: Septum Hematoma?

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Is this a septum hematoma after rhinoplasty? (Photo)

Answers (5)

Answer: Septal Hematoma is a Rhinologic Emergency

Answer: Septal Hematoma is a Rhinologic Emergency

Answer: Septum Hematoma?

Answer: Septum Hematoma?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.