Heading to Glendale for a Rhinoplasty with Dr. Grigoryants

The nose is refining nicely and swelling continues to decrease. The tip is still very hard. I have small pockets of swelling under my eyes still where the worst bruising was. I don’t know why my body is unable to clear these fluids. Dr. Grigoryants suggested me seeing my primary care physician for some water pills. Does anyone have any ideas for me? You can still see them under my eyes if you look carefully. I also have a puffy pocket of swelling above each eye not noticeable in these photos. The throbbing I was experiencing at night and the weird twinges I was getting have stopped so I’m assuming the nasal fracture is nearly healed. I’m still not sleeping well at night though.

I am returning to Glendale today for a 2 month follow up appointment this weekend.
I can hardly believe this much time has passed. I’m returning because I have several issues.

First, I’m unable to sleep well. I am seriously sleep deprived and don’t know what to do about it. I never sleep through the night anymore and on many nights I get only about 2 hours of sleep. I lay awake most of the night and re-position myself on the pillow. For the first 6 weeks, I slept on my back every night at a 45 degree angle. Now, I find I can’t sleep flat. Seriously. The bigger issue is I am (was) predominantly a stomach sleeper. Now, I find my nose can’t take being mushed into the pillow anymore. And although I can sleep on my side, I smush my feather pillow under my head so it has no contact with my nose and I still can’t get comfortable. It’s like when I’m on my side the pressure on the side of my face must somehow put some pressure on the nasal fracture. The end result is that I am reduced to trying to sleep on my back all the time or not sleep at all. My back is actually sore from sleeping on it every night. Has anyone had the inability to sleep comfortably this far out in their recovery?

My other issue is that I don’t breathe well out of my left nostril. I am able to breathe very well out of my right nostril. When I look in the nostrils with a flashlight and a swivel mirror, I can see the left nostril is more obstructed than the right. I have a large lump near the septum and a band of scar tissue on the outer wall of the nostril. I’m assuming the band of scar tissue represents an intranasal incision but I have no idea what the lump is. Together, they work to obstruct breathing. I guess I’m wanting to know if the scar tissue will calm down and flatten out over time or will I have to live with this? Would a Kenalog or steroid shot help with scar tissue inside the nostril? Can anyone offer advice?

Finally, my tip is still very swollen and numb. I know this is to be expected for the first year. You cannot see the supratip break for the swelling. But when I touch my tip, it does not feel natural. It feels weird. I know there is a strut graph in there holding up the tip (my biggest complaint was droopy tip) so I just may have to learn to live with this feeling. Has anyone had a strut graph in their tip and does it feel better or more natural as time passes? It’s like I can’t tolerate anything touching it, even my pillow.

All in all, I’m very happy with the new nose and it’s a vast improvement over what was there.

I'm not noticing any sutures or scabs falling out yet. I've lost 1 intranasal nostril thus far. I'm starting to worry the sutures will not fall out. I've removed no scabs at this point despite irrigating with saline spray 5-6 times per day. I'm also applying Vaseline to Nostrils twice a day because it makes me feel better. I've been able to remove some mucous but no scabs. I'm worried about that too. So many reviews point out that they have removed scabs by the 2 week stage. I'm wondering what I'm doing wrong?
On one of the profile views I'm wondering if the nostril is pulled down too far? It looks fine from the front though. I'm very happy with the new nose! It's a major improvement over what I had.