Thick Skinned Nose - bad swelling even after steroid injections and 10 weeks post op. Is this normal?

Tennis: the thicker the skin before surgery, the longer it will take for swelling to resolve after surgery.  Steroid shots can help with swelling but they can also thin the skin and cause prominent blood vessels, so be careful.  5-fluorouracil is another medicine that can be injected that probably has less risk of causing a problem after several injections. 

Hello tennisplayer15,Thanks for your question.  Thick skinned, oily noses tend to take more time to settle down after rhinoplasty.  It will take up to a year for your nasal tip to settle down back to "normal."  Your surgeon appears to be appropriately aggressive in the way he/she wants your tip to progress more rapidly in the resolution of it's swelling.  By your RealSelf name "tennisplayer15" I assume you are quite active.  Remember that any activity that increases your heart rate will increase your blood pressure.  Anything that increases your blood pressure will increase swelling in your nose.  If after a game of tennis, or cardio/weights at the gym, your nose seems more swollen, then I typically recommend a couple of hours of post play icing.  My patients find that this is fairly helpful.  I hope this was informative.Have a great day!Dr. Shah