Uneven Swelling 3 Weeks After Rhinoplasty? (photo)

Though swelling does substantially decrease in the initial months following your rhinoplasty, three weeks is not enough time to assess the final result of your new nose. Swelling is normal in any nose, even one that never had surgery. Many factors affect swelling such as salt intake, allergies, alcohol consumption and hormones. I understand that you are worried about the uneven swelling that you are experiencing, but swelling can and often does take a full year to fully heal. My best advice would be to track the progress of your swelling, without over-analyzing your situation. If the uneven swelling does persist in the coming weeks or months, you can always schedule a follow-up visit with the surgeon that performed your nose job. In the worst case scenario, revision rhinoplasty is always a viable option. 

You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and look beautiful in the end. Right now, concentrate on other things you like to do and let your nose and under eyes take the time to heal. It can take up a year for your final results. I hope this helps.

The base of the nose holds onto swelling for the longest time, so slight nostril asymmetry is common early after rhinoplasty. Your up close photos are a bit difficult to appreciate significant asymmetry of yopur nostrils, so this is likely all swelling. If in doubt, visit your surgeon for an evaluation. Hope this helps Dr Joseph.