Swollen and Big Nose Tip After 3 Months of Rhinoplasty? (photo)

3 months is still soon after your surgery, and you will still have swelling at this time. It can take 18-24 months to see the final result of your procedure. 70% of the swelling is resolved after the first three months, and the remainder goes down over time. Swelling can be influenced by the thickness of the patient's skin, whether tip work was performed, whether the procedure was a revision, and whether the surgery was open or closed. Having thick skin, it is not uncommon for your swelling to last a while. It is important to be patient during the healing process, and the best thing you can do is wait and see how you continue to heal. Keep in touch with your surgeon throughout the process, as they will be able to answer any questions you have. I hope this helps, and I wish you the best of luck.

Actually, it takes a whole year to see the results of a rhinoplasty.

Usually, there is a significant amount of edema that needs to go down. Furthermore, the skin must contract to fit the dimensions of the newly created underlying structure.

I advise my patients that it will take at least nine to twelve months to notice the complete impact at the tip of the nose. It can take 18 to 24 months for those with thicker skin and delicate tissues.

Hope this helps.
Best,
Dr Sajjadian

Dear bukaries Thanks for the question. During the healing after rhinoplasty surgery due to nose cast and bandages there will be an increasing and acne an oil production on the skin. This will last an a few weeks but it’s possible to see some major changes in rhinoplasty results till the end of 12 months recovery.  I wish you all the best.

Hello and thank you for your question. That at three months postop, you are still very swollen, which is very expected. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months after surgery and continue as needed. Most patients are able to return to work and resume exercise one week after surgery. I recommend that you maintain close follow up with your qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

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

Thank you for your question and photos, and I appreciate your concern. However, it is much too early to be questioning the results of your rhinoplasty, since you likely still have a significant amount of swelling at this point in your recovery. That is particularly true for the nasal tip and thicker skin. I recommend waiting a full 12 months after your procedure to decide whether you are happy with your results. If you are still dissatisfied at that point, you can schedule a consultation with an experienced, board-certified facial plastic surgeon to see if revision rhinoplasty is right for you. As I am already seeing some improvement in your nasal tip and your profile, I would be surprised if that was actually the case.

The result from the pictures is very nice. Nasal swelling can last up to 18 months after open rhinoplasty with tip cartilage reduction. It appears from the photos you are on a normal postoperative course and will probably  see further reduction of swelling over the next 6 months.It can also take time to see a post-operative difference with thick skin overlying the deeper nasal components  of cartilage and bone. Any immediate concerns would be best served by revisiting your plastic surgeon for evaluation.

Assuming that your surgery was performed by a Board Certified Facial Plastic Surgeon - you have nothing to worry about !! One of my favourite patients was a stunningly attractive 22 year old young lady, originally from Kuwait- who had thick, oily skin such a you describe- who wanted a substantial reduction in the size of her nose. Every six months I would see her and the questions were always concerning the slow evolution of her nose to a more compact version of what she orinally presented with. It took 4 years and 2 months for her nose to finally contract down onto her surgically reduced skeleton- and currently she is a fantastically successful business woman whose face is perfectly balanced with her new virtually perfect, and substantially smaller nose.  Perfection needs time to develop and so goes the evolution of the nose following surgery.......,.

It can take at least a year for a nose to heal after a primary rhinoplasty and sometimes longer especially if you are thick skinned. At three months out, you have quite a bit of swelling in your nasal tip and it should improve with time. However, it is best to follow up with your surgeon so that he or she can address your concerns. 

Your skin looks very thick so you will be prone to swelling for longer and thisnmostly looks like post surgery swelling and much of it will resolve with time and some gentle tip massage 

Hello. From your pictures, I see that you have a nice result. The nose may contract a bit more in the months to come. Talk to your doctor about 5FU and Kenalog injections to expedite that process. If after a year you are not happy with its appearance, you may have to consider revision surgery. 

3 months is definitely an early time for deciding on whether your nose will get smaller or now. Probably it will. The thicker your nasal skin is, the longer it takes for your nose to get rid of its swelling and you see the final result. You should keep in mind that a nose job shows its final result in 1 year. It sometimes even takes up to 2 years for some patients for their nose to have its final shape post surgery. Typically, you get operated, have your cast removed in 5-7 days and will have your nose swelling start to decline with time. I generally tell my patients that 70% of  swelling will be gone in 1 month, 90% in 3-6 months, 99% in 1 year and 100% in 2 years.
On the other hand, your nasal skin can be thinned in surgery (up to a point). I advice you to wait for at least 1 year before making a decision on whether you are happy with your result or not. I have patients whose swelling took 6-9 months to go away. 
Hope this helps,
Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey