The Healing Process: Cast & Swelling

I am exactly eight weeks after my rhinoplasty and it still looks like I have a lot of swelling; is that normal?

Yes, it is very common, especially if the skin is thicker, to have swelling just two months after a rhinoplasty. In general, it does take six months to one year for all the swelling to fully come down, so the best thing is just to be patient and let the swelling come down.

Why did my nose change after the splint came off one week after rhinoplasty?

The cast pushes away swelling and helps it heal more quickly. Once you take the cast off the nose, then it allows the swelling to come back, but then it eventually goes away again.

How long should a cast stay on after a rhinoplasty?

The answer to this question depends mostly on the surgeon. The casts usually stay on anywhere from five to seven days, and if it needs to stay on a little longer, that is okay as well. In fact, I have most patients keep their casts and wear at night when they sleep so they don’t accidentally sleep on their face and cause the nose to change shape while it is still in the sensitive healing phase.

A dorsal on-lay graft was placed in my nose and I was wondering if it could be removed?

It is very common to ask questions in the healing period after a rhinoplasty. It is important to keep in mind that there is a lot of swelling that occurs after a rhinoplasty and patience is needed for all the swelling to go down in order to see what will be permanent and what will not. Dorsal on-lay grafts are pieces of cartilage that are placed on the bridge of the nose in order to smooth over any irregularities or to build up the bridge for a better look. Sometimes these can swell up a little bit more than the surrounding tissue and can look like a bump until all the swelling comes down. The best advice is to wait a minimum of six months, and then decide whether or not the graft will work out.

How long does it take for Kenalog injections to work inside the nose?

Kenalog is a steroid that is commonly used after rhinoplasty to reduce postoperative swelling. It is commonly used in people who have thick skin or a big rhinoplasty is performed where we go from a big nose to a small nose. Kenalog is a steroid that takes approximately 2-4 weeks to start working and we do not typically see the results until after a month. With that said, it is safe to get injections every 4-6 weeks, but that is a decision that is best left up to you and your surgeon.