Open Rhinoplasty Scheduled for December 15. Netherlands, NL

Hi everyone,

For the ones that followed me: I planned a revision in December this year to refine my tip. So I will close this thread and open a new review in the revision section. Thanks all!

Last Tuesday I had a consult with another surgeon to analyze the swelling I still have in the morning. He confirmed my surgeon did a great job and the result is very good, given the fact that my old nose was overprojected and full of bend cartilage. The swelling/edema in the tip is most likely caused by the fact that the nose has been operated and now the blood vessels have more trouble controlling the natural edema (caused by lying down for example). He said it is likely that this will still improve over the years. He could not do anything for me at this point and he strongly advised against any revision (same as my own surgeon). I asked if a steroid shot would help and after some hesitation he gave me one low dosed. Finally, because I am trying to get one for months, at least to be sure that it doesn't help.

Now I am awaiting the effect. For me it is time now, 2 years after the surgery, to accept my new nose as it is including the morning/heat edema. I will try now to focus on other things then my own and other people's noses ;-). Easy to say, but let's do it!

A few weeks ago I had another (guess it was my final) consult with my surgeon and his assistant. I told him my worries about the fact that I still have so much swelling, especially in the morning. His reaction was that everyone has some face swelling in the morning, and that it can become more apparent after surgery because of the scar tissue. When I asked him about steroids (again) he said he is anti-steroids because of the negative side effects/risks. He said if he gave me steroid injections it will get worse and he did not want to end up in court. So he could not do anything anymore, and emphasized me not to seek further revision surgery because "he had seen so many examples where people ended up worse and came back to him to have it repaired".

Well, I have my own ideas about this. The new shape of my nose I can accept and be satisfied with, but the swelling which restrains my smile the first hours of the day is problematic for me. I am looking for other solutions first, like ultrasound therapy, to treat the scar tissue. Hopefully it helps. Revision surgery to remove scar tissue and rebuild the cartilage in the (supra)tip is also still an option for me, but not now because I will have multiple consultations first.

Merry holidays!