Uneven nostrils/asymmetry after septorhinoplasty? (photos)

I got a septorhinoplasty 16 days ago and I know it's very early on in my recovery process but I am wondering if it's normal or common to have unevenness particularly at the tip and nostrils looking as though one is lower than the other. Photos attached for reference. Thanks in advance!

Doctor Answers 1

Unevenness after rhinoplasty

Thank you for your question and photographs.It is important to consult with your surgeon about any questions or concerns you may have so they can give you a physical examination. Your nose is still healing and changing, this will continue over the course of a year to year and a half. You probably still have some swelling which can cause the appearance of unevenness. It takes 6 months for 90% of the swelling to resolve after a rhinoplasty. During this waiting period, several treatment options can reduce the swelling. First, post-operative taping is imperative to decrease swelling and mold the shape of the nose. This can be performed for a minimum of 2 weeks with recommendations commonly for 3 months. Second, a short course of oral steroids (Medrol dose pack) can be beneficial in the early stages to decrease swelling and pain. Third, I commonly use a dilute solution of Kenalog with Marcaine to decrease swelling of the nasal tip. If after 12-18 months, you are still unhappy with your results, I would contact your surgeon or another board certified plastic surgeon for a revision.
Best of luck in your recovery!
Sincerely,

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science


Pittsburgh Plastic Surgeon
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