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Hi Dr. Nassif, I had a primary rhinoplasty four months ago, with dorsal hump rasping and tip work. No osteotomies were performed. It was an open surgery. Four months later, my tip still feels sore and tight, and the tip looks like a big ball at the end of my nose. Also, the dorsal hump is still present, although not quite as much as before the surgery. The doctor was supposed to have narrowed my tip but it does not look much different than it did pre-surgery. I wanted to ask you how much swelling is usually present at four months after an open rhino, and how much I can expect the tip to go down? Also, why do I still have a hump? My doctor said he thought he shaved it all down during the surgery, but the small hump has been present ever since the cast was removed! It feels hard like bone, but also a little "springy" at times. I don't understand how a surgeon can do all that work and then the difference be so minimal that even the patient can't tell anything was done! Thanks for any information you can give me!
You will be about 60% healed fter 4 months. At this point it would be best for you to speak with your physician as he/she knows the extent of your surgery and exactly what was performed. He/she will be able to give you the best advice as far as when your swelling will subside. Final results are not apparent for up to one year after surgery. Regarding your hump, it would need to be examined to see if it is bone, cartilage or swelling. Nasal surgery is difficult to get perfect. Hope this helps answer your question. Thank you and best of luck.
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