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Patients go home with an external splint but most often just special tape following a tip rhinoplasty. If it is just a tip rhinoplasty then usually there is little or no bruising. Initial discomfort is easily controlled with oral medication and head elevation. Majority of swelling and bruising subsides progressively over 2-4 weeks. External sutures (if any) are removed in 4-6 days. Internal sutures dissolve spontaneously. An early result is evident in 3 months. Final results become evident in 12-14 months which is the time necessary for complete tissue softening. Areas of sensitivity or numbness will slowly resolve; the tip of the nose will feel stiff or “woody” and this will improve over the first several months. Other temporary conditions may include some airway or sinus blockage, nasal drainage, lumps and irregularities.
Depending on how much work you getdone, your recovery may actually be simpler. However, the length of recovery ispretty standard across the board. The majority of nasal swelling should subsidewithin the first month following your nose job. Still, your nose will take an entireyear to completely heal, during which time residual swelling will graduallydecrease.
Tip rhinoplasties are performed for isolated deformities ofthe nasal tip structures. Theseprocedures differ from standard rhinoplasties because no work is performed onthe underlying boney structures. In theimmediate post-operative period this results in less swelling andbruising. For this reason, the majorityof tip rhinoplasty patients are able to resume normal activities in one to twoweeks following surgery.Althoughtip rhinoplasty patients have less swelling in the immediate post-operativeperiod, this doesn’t translate into significant long term advantages. The reason for this paradox is related to thefact that the nasal tip is the last anatomic area to experience resolution ofswelling. Resolution of swelling occursat the same rate with or without work on underlying boney structures.In thevast majority of patients who undergo tip rhinoplasty, residual swelling ispresent for at least 12 months following surgery. The duration of swelling doesn’t appear to beshortened by avoiding surgery on the underlying nasal bones.
If you are only have your tip worked on, then the recovery should be a lot easier. You will probably only need a week.I tell my patients to limit activity for 3 weeks, even if only the tip was worked on.It takes about 6-12 months before all of the swelling is gone.
The bruising is usually gone in a week and no one should know it was done after that. The swelling is not noticeable but takes 6-12 months to resolve totally. Other than contact sports your restrictions are minimal.