This is a question that I answered for another patient who had rhinoplasty surgery somewhere else.

Your skin has memory of its own especially if it has had previous surgery. The scar tissue from previous work can cause the skin to take on its own shape. But ultimately the cartilage that you have in there will dictate how the final shape will be. The work your surgeon does with the cartilage is the most important and your surgeon will know best how that will determine the ultimate appearance.

Swelling can take months and up to a year for the results to show more clearly.  It is not out of the ordinary that you will continue to have changes up to two years after your procedure. Steroids after the surgery can help with swelling as well as bleeding precautions. Taping of the nose can have an impact as well and your own care of the procedure afterward Rhinoplasty can be very important.

Eventually the skin will shrink down to the cartilage level and will take on the shape of the cartilage structure that was created!

Dr Young is located in Bellevue near Seattle, Washington

You have a nasal bridge hump that is likely made up of bone and cartilage. These can be taken down incrementally so that it can look the way you want from the side with a Rhinoplasty. This change can be done so that your view from the front is essentially the same. The lighting on your nose will be slightly different but it will be better because the light on your nasal bridge down to your nasal tip will be more congruent and similar to indicate that the bridge is one whole structure.

Currently, your tip will display different highlights that will make your bridge look non continuous and consisting of different parts. But this procedure can be done and you will look super!

Dr Young is located in Bellevue near Seattle, Washington

Your Doctor should have an after care packet for you to follow after your Rhinoplasty Make sure to read all of the material and ask questions.  Also you should do your own research to learn more on the internet.

Your doctor can only supply you with a limited amount of information and everybody’s fund of knowledge is different and some may need more supplementation than others.  In general, the less trauma the less scarring and the less inflammation the less scarring as well.

You should elevate your head from the horizontal by at least 45 degrees.

Cooling helps too and you should use cold compresses for 15 minutes every hour for at least the first 3 days.

You should avoid hot temperature things like hot liquids, hot showers etc to keep the oozing down to a minimum.

Avoiding blood thinners w weeks before and after surgery is essential to avoid oozing during and after your procedure.

Having your surgeon use the best technique is vital to a great result, and his skill will determine the amount of scarring that will take place.

Along your incisions you should always have the them covered with vaseline, and I would avoid antibacterial ointment to avoid contact dermatitis that is very common after surgery.

Hydrogen peroxide can be used judiciously and with the guidance of your physician but when used without careful regard this agent can increase scarring. Keeping the crusting to a minimum will decrease the bacterial load and lead to less scarring.

After the first 2 weeks, you can then use a silicone based scar gel to cover the incision for the next three months.

External incisions are what you should use your silicone gel for and not the internal incisions inside your nostril.

Minor scar treatments can lead to the best result; a resurfacing 4-8 weeks after your procedure can help!

Dr Young is located in Bellevue near Seattle, Washington

This is a question that i answered for a patient who had rhinoplasty done by another surgeon. She had some scarring under the nasal tip in the segment bewteen the nostrils from a worms eye view:

Having your surgeon use the best technique is vital to a great result and his skill will determine the amount of scarring that will take place after Rhinoplasty. Along your incisions, you should always have the them covered with vaseline and I would avoid antibacterial ointment to avoid contact dermatitis that is very common after surgery.

Hydrogen peroxide can be used judiciously and with the guidance of your physician, but when used without careful regard, this agent can increase scarring. Your incisions should look like a very fine wrinkle and this is the goal. When they are fairly clean I would avoid hydrogen peroxide and use vinegar and water in a 1 to 3 dilution or less, depending on your discomfort.

Keeping the crusting to a minimum will decrease the bacterial load and lead to less scarring. After the first 2 weeks, you can then use a silicone based scar gel to cover the incision for the next three months. External incisions are what you should use your silicone gel for and not the internal incisions inside your nostril. Minor scar treatments can lead to the best result; a resurfacing 4-8 weeks after your procedure can help!

Dr Young is located in Bellevue near Seattle, Washington

Sometimes, when you have more oozing on one side it will be more swollen and cause the nose to look asymmetric which will resolve in a few months. You will continue to change for the first 6 months to a year after a Rhinoplasty. Your doctor will know best what it will likely look like.

Depending on what was done, the tip will likely get more and more refined and look better and better. The breathing can be due to swelling in this early period. Because your tip looks like it goes to the right, it is possible that this is due to a structural issue and that your tip is going to the left which will impinge sometimes the airway on the right side. This may require a revision but it may be too early to tell.

I would discuss this with your doctor and have him look at it. The only way to tell is for me to really look at it in person as well. Don’t worry, all will be well. You can easily revise these things often times.

Judicious use of steroids can help with the asymmetric swelling but it could also lead to its own problems by making the skin really thin and creating abnormalities if the steroids is not injected deeps enough.

Dr Young is located in Bellevue near Seattle, Washington