1 month post Rhinoplasty, is the hump still there or is this swelling? (photos)

Hi!! I am 1 month post op. Is the hump on mu nose still swollen or the Dr. Did not shave enough cartilage. Here is before and after picture.

Doctor Answers 5

Swelling after rhinoplasty

Thank you for your question!

It is understandable that you are a concerned with what you feel especially with the dorsal "hump" and a  "swollen" nose. The post op swelling is anticipated and every patient is a little different hence the possibility of explaining what you are experiencing.

Unfortunately, with the pictures posted, the lack of surgical details and the inability to perform a physical exam it is not possible to provide you with a definitive answer that could be medically sound.

Nonetheless, it is way to early to pass a judgement. Usually, a year is required before formulating how your nose will be. Even then, your nose will keep shaping itself and to complement your face for better results in the years to come.

My best recommendations at the moment is to be patient, allow nature to take its course and edema subsides for better results. There is no doubt that once the swelling subsides, more definition and shape will be achieved and you should be happier with the results.

Also, it is important that you keep communicating with your surgeon and work as a team together to achieve the best results possible.

Congratulations on your surgery and please remain positive!

Ali Sajjadian, MD FACS

Orange County Plastic Surgeon
5.0 out of 5 stars 195 reviews

Persistent Dorsal Elevation

Persistent dorsal elevations that occur after rhinoplasty can be from several sources:
1. Swelling- Swelling along the upper portion of the nose is often underappreciated aspects of rhinoplasty and can take sometimes months to resolve
2. Boney callous- Swelling along the bridge and rasping can create soft tissue called callous which may require an additional procedure to remove
3.  Dorsal hump- Overly conservative procedure may require additional procedure to further improve profile.

In general, it is best to wait and see how profile adjusts over time to see if anything is needed to improve profile.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 163 reviews

1 month post Rhinoplasty, is the hump still there or is this swelling?

Yes you are correct. Best to discuss with the surgeon IN PERSON about your options for further surgery.....

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Persistent dorsal hump 1 month after rhinoplasty

Your profile view has improved after the surgery, however I see what your concerns are. The truthful answer would be that your persistent dorsal fullness is a combination of residual swelling and incompletely respected dorsal hump. Your upper nasal bridge (radix) also looks quite low, which accentuates the hump appearance. In any case, you have to be patient at this juncture as it has only been 1 month, let the swelling fully resolve and bones and cartilages resettle.  If the hump persists after that and is still bothersome, it can be caumuflaged with a filler. 

Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 30 reviews

1 month post Rhinoplasty, is the hump still there or is this swelling?

   It is improved and there is still swelling present.  You will have to wait a little more time to know.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.