Hi! I had a complicated Rhinoplasty revision a year ago. My surgeon is in LA so I have been unable to go back and see him. My nose still looks swollen and this fluctuates depending on the time of day and heat.
Frequently, my nose goes bright pink and swells up, at least once a day. It will stay like this for a while then go back to normal. There are no foreign objects in my nose. I also often find it very difficult to breathe through my nose, this also fluctuates.
My surgeon has recomended a steroid injection. Do these still work after a year to reduce swelling? I also have bluish and red discoloration on the tip after the second surgery, will this ever go away? So many questions! I don't have many pics on this computer, the one I have uploaded does not show discolouration as i have make-up on. Thanks very much.
May 20, 2009
Answer: Many factors affect the degree of swelling in your nose Swelling in your nose after a revision rhinoplasty has to do with the lymphatic edema that is trapped inside the nose due to altered lymphatic drainage from the nose. Exercise and heat and the time of the day can all affect the amount of swelling and fluid shift that occurs in the nose even after a year. This is especially prominent in the tip. Altitude, air pressure changes, and hormones can also affect the swelling. A low-salt diet will help. Steroid injections will help in the swollen tip area but not with a bluish or red discoloration
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May 20, 2009
Answer: Many factors affect the degree of swelling in your nose Swelling in your nose after a revision rhinoplasty has to do with the lymphatic edema that is trapped inside the nose due to altered lymphatic drainage from the nose. Exercise and heat and the time of the day can all affect the amount of swelling and fluid shift that occurs in the nose even after a year. This is especially prominent in the tip. Altitude, air pressure changes, and hormones can also affect the swelling. A low-salt diet will help. Steroid injections will help in the swollen tip area but not with a bluish or red discoloration
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January 1, 2016
Answer: It will get better. The key to your question is fluctuation. Whenever rhinoplasty is performed, the surgeon is lifting the skin and soft tissues of your nose to alter the cartilage and bony framework. By definition, this process involves disrupting the little nerves that provide sensation to the skin and the little vessels that allow normal drainage of fluid from your skin. Thankfully, this 'injury' heals and all goes back to normal. With each successive surgery though, this healing can take longer and it is not uncommon to have some of the symptoms you're talking about even at one year after a revision. I am sure they are annoying for you, but the fluctuating nature of these symptoms is really a good sign. That means that there is still some healing to go and things will continue to improve. It may sometimes take another six months or, rarely, longer until you're seeing this go away completely. Steroid injections are meant to help you get there faster and can still help at your stage of healing. Until then, it is normal to have flushing in hot environments, bluish discoloration in colder temperatures, and fluctuating swelling and congestion, especially when laying down for long periods or when exercising (when fluid collects in the area). Wishing you the best for continued healing and for a great result.
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January 1, 2016
Answer: It will get better. The key to your question is fluctuation. Whenever rhinoplasty is performed, the surgeon is lifting the skin and soft tissues of your nose to alter the cartilage and bony framework. By definition, this process involves disrupting the little nerves that provide sensation to the skin and the little vessels that allow normal drainage of fluid from your skin. Thankfully, this 'injury' heals and all goes back to normal. With each successive surgery though, this healing can take longer and it is not uncommon to have some of the symptoms you're talking about even at one year after a revision. I am sure they are annoying for you, but the fluctuating nature of these symptoms is really a good sign. That means that there is still some healing to go and things will continue to improve. It may sometimes take another six months or, rarely, longer until you're seeing this go away completely. Steroid injections are meant to help you get there faster and can still help at your stage of healing. Until then, it is normal to have flushing in hot environments, bluish discoloration in colder temperatures, and fluctuating swelling and congestion, especially when laying down for long periods or when exercising (when fluid collects in the area). Wishing you the best for continued healing and for a great result.
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