1 year post-op - will my nose eventually go back to how it looked like post cast removal? (Photos)

Question

Hello! I’m a little over 1 year post rhinoplasty. My nose shape has changed and I’m wondering if it is swelling or if this is how my nose is going to look like now? It doesn’t look like how it use to after the few months following cast removal and it has been fluctuating for the past year. I also have this bump on the tip of my nose I’m wondering if it will go away or if it needs to be surgically reduced? They lifted my tip because I had a flat nose, he didn’t use cartilage from my ear or rib.

Zoran Potparic, MD · Answer

Although we all say that it takes one year for result of rhinoplasty to mature it may take much longer than that. In some patients postoperative swelling and scarring may take longer, in particular tip area, up to 2,5 years. Taping overnight may help even this late after surgery to control discrete swelling as well as gentle nose massage. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It really depends on the types of techniques that your surgeon used during your surgery. Many types of results tend to get better with time but depending on the technique, some surgeons results get worse with time. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. I recommend that you maintain close follow up with your surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

Your two side-by-side photos are difficult to evaluate insofar as the change. The bump that you mention is not clearly visible in your latest photo. Please consider asking your question with better photos to demonstrate your concerns. Thank you for your question. Sincerely, Dr. Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos depending on the skin type, edema may remain for 1.5 years, but you have asymmetry in your nose and your swelling appears to be permanent. For get rid of this image I recommend you revision rhinoplasty surgery.
It would be better face to face consultation.
Best Regards!

Mats Hagstrom, MD (license on probation) · Answer

At one year, your results are final and are not going to change based on waiting further.
The appearance of your nose with constant compression is not an accurate representation of what the final results will look like.
If you put a splint and put pressure on your nose for a few hours and then take it off your nose will look different.
 Constant pressure will reduce interstitial volume in any tissue in any part of the body.
If the appearance of your nose bothers you enough that you’re willing to have a second operation then you should talk to your surgeon about revision surgery.
Best,
Mats Hagstrom, MD

1 year post-op - will my nose eventually go back to how it looked like post cast removal? (Photos)

Answers (5)

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