What is the Cause of Supratip Swelling?

Question

Culprit behind suprtip swelling: tip work or lowering dorsum?Revision 3 months ago& had lower dorsum lowered approx.1mm plus tip work.I'm regretting touching my dorsum at all do to swelling.It distorts my frontal vw. with weird shadows.I can massage away but it soon returns--swelling or scar tissue-How does one know?I have seen my Dr.- a man of few words saying,"I did as you asked"or"We'll just have to wait and see as you are still swollen"frustrating that I get more info. from this site.Advice.

Jonathan Kulbersh, MD · Answer

Swelling in the tip is usually related to the tip work itself. Duration and severity of swelling can generally be influenced by:
	
	1) Whether or not tip work was performed
	2) The thickness of the patient's skin
	3) If the procedure was open or closed

	It can take up to a year before you see your final result, and this is due to swelling that is present, not necessarily scar tissue. From here, it is best to be patient while you heal and allow the swelling to dissipate. 5-Flourouracil mixed with kenalog works great to reduce the amount of swelling in your nose. I would recommend discussing this option with your surgeon and visiting them for a follow-up to answer any questions you may have. I hope this helps and good luck.

Thomas A. Mustoe, MD, FACS · Answer

Some supratip swelling is common after rhinoplasty, and after revision rhinoplasty the swelling is more common and  can last for many months.  Meticulous surgical technique with precise control of bleeding during the procdure minimizes the initial swellin.  If it is a problem in the early postoperative period, a steroid injection ( Kenalog) into the supratip area done monthly can be very beneficial, and I use it frequently, but only very small amounts should be used, avoiding injection to near the skin to avoid depressions.

Raffy Karamanoukian, MD, FACS · Answer

Supratip swelling may be caused by differential compression post surgery.  If you feel that there is significant or excess fullness of the nasal tip, you may be a candidate for surgical rhinoplasty tip reduction.

Donald B. Yoo, MD, FACS · Answer

Supratip fullness and edema can be due to a number of reasons: edema, scar tissue formation from excess dead space, cartilage, soft tissue, or a combination of these.  If it is swelling causing fullness in your supratip, it can take months to resolve.  Sometimes injecting the area with 5-fluourouracil and kenalog can help to expedite the resolution of swelling.

Carlo Honrado, MD, FACS · Answer

Since this is your second procedure, it is common to have some prolonged swelling.  There are several other factors that may be contributing such as the approach (open vs. closed), the thickness of your skin (thin or thick), and how difficult the dissection was.  It is encouraging that you are able to see the swelling dissipate after manipulation.  Be patient, but injections to nose with kenalog and 5-Fluoruracil can potentially help resolve the swelling faster.

What is the Cause of Supratip Swelling?

Answers (6)

Answer: Supratip edema and pollybeak deformity after rhinoplasty

Answer: Supratip edema and pollybeak deformity after rhinoplasty

Answer: Injections Will Help Swelling

Answer: Injections Will Help Swelling

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

What is the Cause of Supratip Swelling?

Answers (6)

Answer: Supratip edema and pollybeak deformity after rhinoplasty

Answer: Supratip edema and pollybeak deformity after rhinoplasty

Answer: Injections Will Help Swelling

Answer: Injections Will Help Swelling

Browse related questions

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.