Question: Since my rhinoplasty four months ago the swelling seems entirely gone from the bridge, however the tip still looks very swollen and as a result it’s big compared to the rest of the nose. Is it normal for the swelling to fade disproportionately or should I be considering revision at this point?
Answer: Rhinoplasty surgery is complex. It generally may disrupt the delicate lymphatic and blood vessels of the nose and the soft tissues. This frequently results in swelling which takes a while to heal. In general, the swelling resolves in an a symmetrical fashion. However it’s not impossible for one area to have a longer time of healing to resolve. At the four month mark the nose is still undergoing a lot of healing. It takes up to one year for a rhinoplasty to completely heal and to have a good idea of the final result. My advise it to return to your original rhinoplasty surgeon and discuss this with him or her. The surgeon may want to continue to follow the nose and would be able to explain exactly why the swelling is there and whether or not any future surgeries may be needed.