Post Rhinoplasty: Swelling Has Gone but Tip of Nose is Still Big

Dear Rhinoplasty patient from UK,
What you are experiencing is normal post rhinoplasty anxiety. Swelling after a rhinoplasty can last for up to a year, sepcially in the tip area.  For two weeks post op you nose look good. One month after rhinoplasty, you should see clear improvements.  Long-term results (specially in the nasal tip area) can take a year or more to appreciate due to swelling.  This is the hardest part for the patient, because it takes patience.  Give it time and follow up closely with your surgeon. Good luck and good healing. Dr. Kevin Sadati

It’s not unusual for patients undergoing rhinoplasty to have prolonged swelling.  Several factors, including the use of open rhinoplasty, fracture of the nasal bones, thickness of the nasal skin and a previous rhinoplasty have been associated with prolonged swelling.
            Most patients will note significant swelling for about two to three weeks following surgery.  After two weeks, most patients are comfortable resuming their normal lives and going out in public.  Swelling will persist in most patients for at least one year following surgery, with the nasal tip being the last site to experience resolution.  In the immediate post-operative period, nasal splints, elevation of the head and ice can be used to minimize swelling.

Hello,It usually takes 1-3 years for the swelling to fully go down after a rhinoplasty. The tip takes the longest time to heal and mold to the new framework because it is the thickest skin of the nose. The skin over the profile is thinner than the skin over the tip. Patience is required during this healing phase. However, an anti-inflammatory can help with the swelling. Another alternative is a steroid injection. Consult your doctor to see if both of these are good options for you.All the best,
Deepak Dugar, MD
Scarless Rhinoplasty Expert
Beverly Hills, CA 90210