2 Years of Swelling After Revision Rhinoplasty?

Hi. I had a open revision with a Beverly Hills surgeon who spent 6 hours working on me. My first surgery only lasted 2 hours and was closed and I saw my final result at 7 months. Now I have no idea. I had my surgeon tell me it will take up to 2 years to see a final result, and another revision surgeon tell me 2.5 years. I am now at 1 year and 3 months and it is still very boulbous looking. The lower half of the nose especially looks swollen. Can it change much from here?

Doctor Answers 6

Swelling 15 Months after Revision Rhinoplasty

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In general, we say that it takes about one year  for the swelling to resolve. However after a 6 hour revision procedure it may take a liitle longer. The improvement during the coming year will be subtle. I always advise a patient to listen to their surgeon. It would be easier to answer your inquiry if you submitted a picture. I do suggest that a patient get a second opinion, but it sounds like you've already done that.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Revision Rhinoplasty

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Hi, I would say that after a year's time the results of a revision rhinoplasty are definitely evident. So what you see now is what you're going to be left with. Bulbous tips are very difficult to deal with and require special techniques to reduce the bulbosity. I perform many rhinoplasties with the bulbous tip issue. You can check out my website that explains my technique with reducing the bulbous tip. Best, Dr.S.

Rhinoplasty result timing

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I would expect the result of any rhinoplasty to be achieved after one year. If your nose still is unsatisfactory , I would suggest seeing your original surgeon and get at least 2 more opinions from surgeon experienced in revision rhinoplasty. A 6 hour open revision rhinoplasty may have been needed  for a very difficult repair . It would be help full to see your before and after pictures.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon

Can postop swelling last 2 years after revision rhinoplasty?

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It may be hard to believe, but it certainly can take a few years for your rhinoplasty result to become evident. This is especially the case after a long, presumably complicated revision procedure like you had. 

I would trust your surgeon's opinion. Your first surgery may have been faster and had a quicker healing time, but you ended up needing a revision which is a much more complicated procedure. Also, after revision surgery it takes longer for the tissue swelling to resolve.

Revision Rhinoplasty Requires More Time

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Yes, it can definitely change. Revision rhinoplasty has a completely different healing process than primary surgery. Revisional surgery, due to its nature, requires more time. I agree that many patients need up to two years.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Persistent tip swelling

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It sounds like you probably had a fair amount of grafting performed through an open approach.  If you have thick skin there can certainly be persistent swelling for over 2 years.  Consider steroid injections.

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