Swollen Lip/columella Normal 5 Weeks After Rhinoplasty?

Question

I am currently 5 weeks post op on an OPEN primary rhinoplasty. I cannot purse my lips together as if to apply lipstick 'cos the upper lip is very tight. I also feel like my upper lip (where columella meets lip) looks swollen. Is this possible and normal? When should I expect this to resolve itself?

Toby Mayer, MD · Answer

This is normal and can take several months for the last bit to go away. It always does, so relax and don't worry.

Steven Wallach, MD · Answer

Numbness, swelling, difficulty smiling or pursing the lips early after a rhinoplasty are all very common. This all gets better with time.

Darryl J. Blinski, MD · Answer

Very common after "open" rhinoplasty where the columella is cut through and through. This is due to lymphatic drainage disruption. And can last several months. Discuss with your rhinoplasty surgeon.

	From MIAMI Dr. B

Richard W. Fleming, MD (retired) · Answer

You have more swelling than normal 5 weeks after the rhinoplasty, but this always resolves. Share your concern with your surgeon.

George J. Beraka, MD (retired) · Answer

Hi.

	Most likely, you just have more swelling than normal after rhinoplasty, and you will be fine.  But do see your plastic surgeon in case there is an anatomical problem.

Swollen Lip/columella Normal 5 Weeks After Rhinoplasty?

Answers (5)