When the cast was removed my nose had a nice shape, now it's been over 4 weeks and the shape of my nose looks so bad. Why is this? I know it's still swollen, but how can the shape look so much worst?
Answer: Post op swelling The cast usually helps to suppress the swelling. The first
Helpful 1 person found this helpful
Answer: Post op swelling The cast usually helps to suppress the swelling. The first
Helpful 1 person found this helpful
October 15, 2014
Answer: So early I agree with the other respondents. Hopefully you are continuing to see your surgeon on a regular basis and assessing your progress. Also there is the ability for the swelling to expand a bit after the cast is off. Over time (even a year) this will go down and your will see real and gradual change
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October 15, 2014
Answer: So early I agree with the other respondents. Hopefully you are continuing to see your surgeon on a regular basis and assessing your progress. Also there is the ability for the swelling to expand a bit after the cast is off. Over time (even a year) this will go down and your will see real and gradual change
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October 13, 2014
Answer: Rhinoplasty results look worse 1 month after cast (splint) removal. When your surgeon removed your nasal cast or splint, the nose had been held in the desired shape by the splint (cast), and this also helped to keep swelling at a minimum as the skin re-adhered and began to heal.The minute the splint was removed, your nose began to swell, and scar tissue beneath the skin where all the work was done also was forming. The underlying shape is now obscured by both swelling and scar tissue.As we continue to say here and in our patient consultations, scar tissue takes 6-12 months to fully soften and mature, which is why it takes noses (and all operated areas, actually) up to a full year to settle and develop their "final" appearance. And also why any consideration of (or request for) revisionary surgery should be delayed for 6-12 months.Excessive swelling or scar formation can sometimes be favorably influenced by judicious and skilled low-dose steroid injection(s) to soften and reduce these things that can affect your nose appearance. I typically wait for 6-8 weeks before considering steroid injection, start with very low dose and low concentration, and wait two months between injections to assess effectiveness. I'd rather creep up on effectiveness slowly and carefully than use too strong a concentration or too high a dose and end up with a dent! So slow and easy if this route is taken. Yes, you ARE swollen, and this can obscure your result. Scar tissue has not yet matured either, so see your surgeon and see if steroid treatment is recommended. In the meantime, relax and let the time pass before you become concerned too much. This is indeed normal in the vast majority of rhinoplasty patients. Best wishes! Dr. Tholen
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October 13, 2014
Answer: Rhinoplasty results look worse 1 month after cast (splint) removal. When your surgeon removed your nasal cast or splint, the nose had been held in the desired shape by the splint (cast), and this also helped to keep swelling at a minimum as the skin re-adhered and began to heal.The minute the splint was removed, your nose began to swell, and scar tissue beneath the skin where all the work was done also was forming. The underlying shape is now obscured by both swelling and scar tissue.As we continue to say here and in our patient consultations, scar tissue takes 6-12 months to fully soften and mature, which is why it takes noses (and all operated areas, actually) up to a full year to settle and develop their "final" appearance. And also why any consideration of (or request for) revisionary surgery should be delayed for 6-12 months.Excessive swelling or scar formation can sometimes be favorably influenced by judicious and skilled low-dose steroid injection(s) to soften and reduce these things that can affect your nose appearance. I typically wait for 6-8 weeks before considering steroid injection, start with very low dose and low concentration, and wait two months between injections to assess effectiveness. I'd rather creep up on effectiveness slowly and carefully than use too strong a concentration or too high a dose and end up with a dent! So slow and easy if this route is taken. Yes, you ARE swollen, and this can obscure your result. Scar tissue has not yet matured either, so see your surgeon and see if steroid treatment is recommended. In the meantime, relax and let the time pass before you become concerned too much. This is indeed normal in the vast majority of rhinoplasty patients. Best wishes! Dr. Tholen
Helpful
December 3, 2014
Answer: Rhinoplasties take time to heal It takes many months for a rhinoplasty to "calm down" and appear as it will for the rest of your life. During the healing phase, which takes up to a year, the nose may appear to change and have areas that are full. This can fluctuate daily. I like to follow my rhinoplasty patients every two months initially to see if a steroid injection may help problems like this.Ultimately, you need to be patient, and discuss your concerns with your surgeon.Andrew Campbell, M.D.Facial Plastic Surgeon
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December 3, 2014
Answer: Rhinoplasties take time to heal It takes many months for a rhinoplasty to "calm down" and appear as it will for the rest of your life. During the healing phase, which takes up to a year, the nose may appear to change and have areas that are full. This can fluctuate daily. I like to follow my rhinoplasty patients every two months initially to see if a steroid injection may help problems like this.Ultimately, you need to be patient, and discuss your concerns with your surgeon.Andrew Campbell, M.D.Facial Plastic Surgeon
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October 13, 2014
Answer: 4 weeks post op Hello Julie, it's difficult to say without seeing any pictures. 4 weeks post-op your nose will definitely still be swollen. I would recommend contacting your plastic surgeon if you have any questions or concerns about the shape of your nose. Best of luck.
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October 13, 2014
Answer: 4 weeks post op Hello Julie, it's difficult to say without seeing any pictures. 4 weeks post-op your nose will definitely still be swollen. I would recommend contacting your plastic surgeon if you have any questions or concerns about the shape of your nose. Best of luck.
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