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?
2 Years of Swelling After Revision Rhinoplasty?
Doctor Answers 6
Swelling 15 Months after Revision Rhinoplasty
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.
Rhinoplasty result timing
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.
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Can postop swelling last 2 years after revision rhinoplasty?
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
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.
Persistent tip swelling
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.