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Question: I had an open rhinoplasty with another surgeon in another state about 6 weeks ago – and my nose seems to look almost the same as before!   I have a monthly follow-up with the other doctor for now, but would like to get your opinion.  What should I do?

Answer: 6 weeks postop after an open rhinoplasty is still very early with regard to the healing process.  Swelling and edema of the overlying soft tissue envelope makes it difficult to evaluate the underlying cartilage and bony nasal skeleton – which was addressed during initial open rhinoplasty surgery.     This swelling camouflages the underlying skeletal framework of the nose.   As the swelling improves, sometimes the nose can look better–or conversely look even worse.  It is difficult to have patience, and sometimes early revision nasal surgery is indicated – but typically repeated early revision surgery is not recommended.  Most plastic surgeons prefer to wait 6-9 months, and preferably a year,  before considering open rhinoplasty revision.  At this time, a more accurate evaluation and surgical correction could potentially be achieved if necessary.

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