Will More Swelling Go Down After over a Year After Rhinoplasty?

If you're unhappy with the appearance of your tip 15 mos. after rhinoplasty, I don't think it will continue to improve. You could consult your surgeon and another rhinoplasty specialist to see what's best for you. Sometimes a non-surgical rhinoplasty with injectable fillers is helpful for restoring nasal symmetry after rhinoplasty: this will increase the width of your tip, so I'm not sure it will be suitable for you.  I prefer Silikon-1000 for permanent results.

I'm not sure why you see bruising inside your nose at this point.

I hope this is helpful for you.

The nasal swelling after a nose job can take up to two years to completely resolve but generally 90% or more resolution is achieved by 6 months.

I think it is somewhat difficult to answer your question without knowing precisely what was done to address your bulbous tip. I can tell you that in my practice, I definitely have seen patients continue to 'shrink wrap' down beyond 1 1/2 years after a rhinoplasty. In some cases, I will use a steroid injection to further contour the nasal tip and promote even more shrinkage of the soft tissue around the tip. Of course, there is a chance that your nose has essentially healed and you will not see much more improvement. Make sure to consult with a rhinoplasty specialist in your area.

In most cases, I would agree that after 15 months the swelling in the nasal tip has essentially resolved. Having said that, there are some cases where I have seen persistent nasal tip swelling continue to improve with some more time--but these have almost all been in revision cases where it was the patient's 2nd or 3rd rhinoplasty. If you haven't already you should convey your concern to your surgeon and discuss potential correction of any significant asymmetry. There are several potential options that exist aside from revision surgery, including the use of fillers or steroid injections--depending on your particular case.

Hope this helps...Good Luck!

Dr. Yalamanchili

Swelling from rhinoplasty should resolve within one year of surgery.  Any persistant fullness is unlikely to resolve.  Address your concerns with your surgeon.  If you are dissatisfied, seek a second opinion.  I suggest a surgeon who is a Board Certified Facial Plastic and Reconstructive Surgeon, Cosmetic Surgeon or General Plastic Surgeon.  Warmest regards, Dr. Pippin.