I really appreciate how responsive you are to everyone’s comments! I don’t have any questions, just wanted to commend you on your excellent feedback! All the best to you 😃🌸
I am now 10 days post op and four nights into taping my nose and I honestly see a tremendous change in my nose and how I wanted it to look like! thank you so so much!! I was really worried that I might look like a dinosaur at first but now I’m slowly seeing my nose change into my dream nose ❤️
Thank you!! I love RUclips. My Dr hasn’t recommended any of this for swelling. I am 9 weeks post and still seeing a lot of tip swelling. I have green doing the massages and will now include the taping. I will also inquire about the splint when I return for my 3 month f/u He is out of town so it makes f/u a tad more complicated being he hasn’t seen me since a week post.
My surgeon told me to wear tape for 6 months 24/7. I can't wear it 24/7 because I have to go to work and I don't want to look like a freak but yeah it just shows how important it is to tape all the time
Thank you for this great video. I had an open rhino plasty and loved my results until after going to the gym my nose swelled up significantly. That happend 5 months ago but my nose hasnt really gone back down to how it looked. my doctor said i should massage which I am doing but like you said in your video I still wake up with a swollen nose. I am black and have thick skin. would taping still work for me at this stage. I had my surgery 7 months ago.
Hi. Swelling can last up to a year. If you have thick oily skin, you may benefit from topical Retin-A cream to reduce oil production. This can thin out the skin a bit. Another option is the use of low dose Accutane. Occasion you might benefit from steroid injections. Speak with your surgeon about these options. Good luck.
Can cleaning the inside and outside of your nose with an earbud or your finger nail cause damage like 1 week post op (just after all packing, splints and cast is removed)?
It really depends on how aggressive you are. Gently cleaning with moist Qtips is the safest way to go in my opinion. Too much pressure placed on the nose this early might shift the soft nasal bones into the wrong position. That's why my patients aren't allowed to blow their noses for 1 month after surgery. They can wash with bottled saline or use a Neti pot for cleaning gently.
Great tips!! How soon can I start these exercises after my rhinoplasty?! My doctor told me to just stick with the sides for the first two weeks then the tip on the 3rd
Dr Shah, I wish that I could come and see you! I am in Kent, England. I am over 3 years post-op after a septorhinoplasty procedure. Swelling is almost the worst it has been! I have not been advised by my surgeon to do any massage techniques, only taping (which I only started doing 18 months post-op, I wasn't advised to do so sooner). I deeply regret my decision to have the procedure done. :(
I’m sorry to hear of your troubles. I conduct virtual consultations and can perform some assessment via email with high resolution photos. Please email me at info@drmanishshah.com.
Hello. You are welcome. Subscribe to my channel and find me on Realself.com to see my rhinoplasty discussions. My patients go back to the gym for cardio at 2 weeks postop and then start weight lifting at 4 weeks after surgery. Exercise will increase swelling so I recommend icing after exercise. Good luck!
Ya where my nasal bone is by my septum, the skin is like really far away from the bone, not sure if its swelling but its freaking me out cuz it's just on 1 side
Yasmine Tete take a break from the tape to let your skin heal. Once the skin is healed you can try medical paper tape. But if you have a tape allergy, then skip the taping portion and just use the massage.
I had a deviated septum from a jaw surgery that I had, and had a septorhinoplasty done. My dorsal hump was removed, and septum was corrected. I kept my splint, and used it whenever I had my glasses on. However, my doctor never explained any of the things that you are explaining now. I wish he did. The tip if my nose still looks bulbous. The hump was fixed, but now if you look at my nose, it either looks like it has a very slight hump, or as you get to the tip, looks like it has collapsed a little. 🥺
Hi Dr.Shah! Thank you so much for this video :) I just had a question regarding thick skin. I just had my rhinoplasty two weeks ago and I’m very worried about scar tissues occurring and being viable in my nose. Do you have any tips on how to decrease scar tissue from occurring?
Hi Maria. I think the best way to reduce scar burden is to control swelling with the techniques I've described. Also control the oily nature of your skin with retinols.
I know this is gross but you might want to take a pair of tweezers and pull the boogers out. My surgeon did this for me since I wasn’t blowing my nose (you’re not supposed to) and they were all stuck up there making it hard to breath
Hi I have a question, I was very impressed with my result after the splint was removed at day 7, nose was nice and straight with a refined tip, but now despite strictly following after care instructions, at 3 weeks I can see the middle of my nose start to grow a slight hump like the one I used to have pre rhinoplasty, and im worried as Im not sure if this is the actual bone thats swelling or cartilage, id appreciate if you could respond when you have a chance thanks!
If your surgeon is ok with it, I would recommend secure taping of this area at night to shift it into a more straight and flat position. During the day, the tongue depressors can be used to iron out/squeeze out swelling in the cartilage and skin.
@@ManishHShahMDFACSDenver I'm 1 week post op. Feeling great! Question for you. Should I be concerned about my covid mask leaving a dent on my nose? And if it did leave a dent, is that permanent? Or just because of the edema still on the nose? thanks!
Cheryl Ferry yes you should be concerned. Ask your surgeon for another metal splint to wear first and then wear your mask. Or tape your nose down during the day and then wear your mask.
Very informative video! I recently had a septorhinoplasty with ear cartilage graft - would it be safe for me to do the massages and not cause the graft to shift position? Many thanks
It depends on how the ear cartilage was used. If your surgeon gives you permission to tape and massage then please do it. It can be very effective in the majority of postop situations.
Thank you so much for these tips. Im 2.5 weeks post op and have been struggling immensely with swelling and post op blues. How soon can I start these exercises? Is it okay to start now? I read that I should wait 4 weeks. Also how many months do you recommend doing these exercises for?
My patients start as soon as the splint is removed. They perform the exercises for 2 months until the nasal bones have solidified and 80% of the global swelling is gone.
I have very thick, oily skin and my surgeon reduced my nose size by a large margin. I'm at about the 4 month mark and it's bumming me out because every other week it swells up. It will start to go way down, and when it goes down it looks beautiful. Straight and small. Then I'll make the mistake of taking a couple shots of alcohol and hitting the gym, thinking maybe I'm past the point where it will keep swelling. Then, just like clockwork the supratip and tip swells up the next day and stays that way for a week. Then it goes down again. I understand at this point I'm pretty much just waiting for the skin to shrink and fit my nose. It's just driving me crazy because I feel like I can't live my life while I'm waiting for the nose to settle. I'm always worried if I touch it the wrong way or raise my blood pressure that it will swell up and never come down. Am I just being paranoid? Will there be a time that this swelling will stop and the nose will shrink for good?
Hi. Be patient. What you are experiencing is very common in oily noses. A little trick I use for my patients with oily skin is the application of OTC hydrogen peroxide on the T-zone of the face at night to kill the bacteria in the pores and reduce the oil output. It works wonders. You should go ahead and live your life without worry. On the days that you know you've eaten things or done things that will swell your nose, perform the massage and tape overnight to hold off the swelling so you don't find yourself fretting for a week. As long as your skin doesn't get irritated from the paper tape, you should do fine. This combination of actions should give you incredible peace of mind when followed intelligently. Good luck.
Hi Dr Shah, love how responsive you are! I just had my nose done about 1 month ago and have developed a slight bump. My surgeon said it’ll go away and there’s no need for do anything or worry about it but I was wondering if I should follow the massage tips you mentioned and tape even when told it was not necessary! Thanks in advance :)
Hi Situl. I always recommend that you follow your surgeon’s instructions. However. If the bump isn’t gone in another month, I would ask about steroids and taping. Good luck!
Hi. Great question! I have patients who visit me from out of state regularly. We usually start with an online consultation using Skype or FaceTime. Once I know what you are trying to improve with rhinoplasty, we come up with a plan together, and my staff send you a price quote. If you decide to go forward with surgery, we do a preop appointment online. Surgery is paid in full at preop. We then have you come into town the day before surgery to sign all paperwork, take photos, and perform simulations. The next day is surgery and I have you stay at least over the weekend. Ideally I would prefer you to stay one week so I can remove stitches. But if you have to get home to recover, we try to find a Surgeon comfortable enough to remove stitches, etc. near your home.
Just had my surgery yesterday been nothing but pain I don’t know if it’s due to swelling or what but this shit hurts can’t wait to see the results after the swelling goes down tho.
Hello Dr, I had a septoplasty just over a week ago. The splints and cast have been removed, so would it be safe for me to do the taping and massage/icing without causing damage to the septum?
I just got my cast removed. I’m 9 days post op! And I feel hideous. My nose is like a potato now. :( also when he removed my cast I still had a slight bump on the bridge :/ should I be worried. He explained my skin is very thin and there was a lot of swelling still. Also he showed me my after picture while I was under and there was no bump. So I hope it goes down 🤞🏼
You are very early after surgery. The slight hump is swelling under old hump skin. That skin needs to shrink wrap. If your surgeon is ok with, use my bridge taping regimen I show in the video to manage that skin and get it to lay down nicely. In ethnic noses, swelling can be quite excessive so be focused. Increase your protein intake and cut out salty foods/alcohol. Ice down after exercise or sex. These little hacks will help control the shape of the nose more effectively than just waiting for the skin to de-swell. The bridge will de-swell in 2-3 months and the tip in one year, so be patient.
Shah Aesthetic Surgery wow thank you so much! And for the quick reply! I will ask about your taping method! And I am icing away! My tip was actually nice prior to surgery. Just had a skinny nose with a hump. He gave me a slight slope and made my tip slightly smaller to match my new nose! I’m seeing improvement it’s just the bump that is slightly there! I hope it will all start to come together and I will try not took obsess over it!
I just had rhinoplasty literally a week ago and I was so excited at the cast removal but I started crying cause I feel like my nose looks exactly like it did before. It's not as crooked as it was maybe, but I can still see a little bump on it, and it's DEFINITELY not straight like I wanted it to be. The nurse said this is just due to swelling, and once the swelling goes down the bridge will be straight. I don't know what to believe. I'm confused, depressed, and mad cause I feel like I paid a lot of money for nothing. Has any of you gone through something similar? Will my nose look better once the swelling is gone?
Valentina Ferrari she’s right mine looked huge bigger than what it was and i was depressed af, keep the bandages on it help with the swelling you’ll see the final result after 3 months
I just took off my cast yesterday snd the only problem I have is that I can’t close my right eye fully. There’s like a tiny slit open and it sucks. Im pretty sure its not normal, is it because my face is still kinda swollen? Can you close both your eyes?
Hi doctor, just about 4 full months post op, closed Septo/Rhino with bridge narrowing and tip refinement. I had a wide bridge with a bulbous tip. I wasn’t told whether i had thick or thin skin so I’m not sure. I also wasn’t told by my doctor either way, whether to tape or not, and I didn’t know at the time to ask that question. I still get “achey”’along the sides of my bridge, maybe due to what I ate or drank that day, I’m not sure. I also still have a great deal of swelling in the tip, it’s still very round w slightly more swelling on the left side of the tip so it appears crooked, even more so when I smile. From underneath it looks boxy and not refined at all. I wish I had taken photos immediately after cast removal bc I remember being happy w what I saw that day, not realizing how much was going to swell and forget what it looked like! I know I’m still early in the tip healing process but I feel like I’m not seeing much change in the tip now. I only had a 1 week follow up for splint removal and then a 1 month follow up and I was discharged 🤷🏻♀️. no other appointments unless there’s a problem. I thought that was odd, but maybe varies by doctor. My question is, would taping and massage at this point still help? Like I said he never said NOT to do those things. Thank you so much in advance. Please help bc I pray that the results I have right now are not the final! And I will be making an appointment soon to see him.
It won’t hurt to try. Tip swelling leaves by 12 months postop. Also ask your surgeon for a Medrol dose pack of oral steroids to help accelerate the reduction in tip swelling.
@@ManishHShahMDFACSDenvergood morning doctor from the East Coast! Thank you so much for the reply, especially so soon, and on a weekend🙏🏼 I will tape , and do what you recommend when I get an appointment. God bless for all your help to all of these people!
Thank you Doc Can you recommend a caffeine cream or tape to use? I got this from co2 laser 8 Weeks ago and it won’t go away. My doc is saying wait it out but I hate it and only on one cheek It’s small but noticeable. Thank you
I am 2 months post op and i still wake up every morning swollen. I need to say that i have thick skin and also after rhinoseptoplasty my skin became sooo oily. I am so worried that i ll be forever swollen😢 it s such a difficult process.
Your nose will swell and deswell cyclically over the next 10 months before everything settles down. If you have thick skin some options might include: 1. topical Retin-A cream on the nasal skin or 2. low dose oral Accutane. It can help thin out the skin and reduce the oilyness. Those with thick, oily skin will have swelling the longest.
Shah Aesthetic Surgery Thank you so, so, so much!!! Thanks from my heart! I admire all the surgeons who make time to respond to everyone's concern!! Sometimes even some small words and encouraging does so MUCH! I've been told that thick skin takes longer to settle down but until you don't see it on your own skin you cannot actually believe it. Also all this "dents" that we gently feel under skin after the bones have been broken will they settle down in time? I mean you can feel them, not see them as much. Thanks again for the reply! With all respect to you DOCTOR🙏
@@jammiejo185 you are welcome. The edges of the nasal fractures may always be palpable. You just want them to not be visible. It takes some getting used to. If you can't ignore the feeling of the edge, it can be adjusted in a year under local anesthesia.
I’m nearly 4 months in an I’m so swollen still , I get headaches all the time an inside my nose is all swollen an red , I’ve been to see the surgeon and he said it looks fine but now I have these small bumps along the middle of my nose an it sticks out an also a small bump on the side of my nostril that looks awful , he said it will go in a few months an that it’s either scar tissue or pockets of air because of the swelling and my nose is still very stiff , I’m not happy with my nose at all an it’s really worrying me that I’m stuck like this esp with the bumps to i feel like he’s not telling me the whole truth an says things to get rid of me , I have a hump on my nose an at first it had completely gone but not with the bump I’ve now got it looks like I’m getting it back again 😫
@@kellylovejoy2169 you really shouldn't be all that swollen at 4 months. The tip area definitely could be swollen, but the bridge shouldn't be. Full rhinoplasty recovery takes one year. You are welcome to email me your photos to give you some guidance if you'd like. Photos from the front, both sides, and a bottom view to see your nostrils are really helpful. Email them to info@drmanishshah.com
Thanks for this video Dr Shah! After an open rhino, on average, how many weeks does it take : - for a patient to get their sensation and movement of the upper lip back? - for the nose tip settle down from being excessively upturned after rhino?
hello Dr, just wanted to ask that.. after your surgery did you feel in the first or second week that the tip of your nose is slightly more upwards and uplifted as compared to before surgery
Hi :) That is actually quite common. It is due to swelling. Once the swelling subsides the tip drops into place. It can also be due to the amount of tip cartilage removed. The more that is removed, the more the tip naturally rotates to fill in the deadspace.
Hello octor ! Many thanks for this video. I m 2months and a half post op and feel lumps under my bridge right where my septum was corrected. Moreover I feel like bones on both sides of my nose where the hump was removed. Therefore my 3/4 profile looks irregular. Do you think that might be swelling for both situations or it looks like it may need a revision including osteomtomy to solve the second problem ? Thanks for your advice if you get this message. I'm quite Desperate atm. Many thanks again ! Ls
Depending on the patient, I perform the following procedures in office under local anesthesia: facelifts, browlifts, tip rhinoplasty, ear pinning, cheek implants, chin implants, lip implants, buccal fat pad excision, facial fat transfer, small areas of liposuction (face and body), breast lifts, mini tummy tucks, and reverse tummy tucks. All patients use Valium and Pronox as well to bring comfort during the numbing injection process. It is incredibly well-tolerated and most patients tell me that the average pain score for the procedure is between 2-4 total for the whole procedure.
Hey, I had my rhinoplasty 2 weeks ago. I had a deviated septum and a bump in my nose. Around 1 week ago my surgeon removed my splint and revealed my nose. It was very swollen, as expected! Everyday I’m seeing new things on my nose, the latest being the fact that my nose is still a little crooked! I’m not sure if it’s going back to how it was before or if it could this be due to swelling coming down on just one side? Could you please advise, can swelling make you see things? thank you in advance sir.
Getting a purely straight nose on a normally asymmetric face is pretty much impossible. But swelling this early into your recovery will hide how much improvement you actually have.
Hey Dr. Shah! I love how responsive you are to all the comments even recently. I had a quick question. How accurate are the surgery table photos taken right after the procedure is done under anesthesia? Can I expect those results to be similar to the final result I will see in one year? I had a tip plasty with a rib graft inserted into my tip and I really love my after results that I saw in the operating room table pictures, however right now I have a lot of swelling due to my thick skin and I was just wondering if there was hope to have a similar result as to the surgery table pictures. Thank you so much
You will need to be vigilant and stay on top of your swelling reduction strategies to get the result you saw on table that existed before swelling and scarring set in.
doctor i need your help im 2 months and 3 weeks post op and and my nose is swollen and the tip is super high and it looks like a pig nose 🐽 what can i doo im super sad
I am 4 weeks post op and have developed a small hump on my bridge. My Dr didn’t advise me to massage at this point. I will see him at 6 weeks. What is this and Will this go away in its own
It's hard to know. Just wait until your surgeon says it's ok. Or ask about nighttime taping at least. At four weeks your nose is solid enough to tolerate that. That being said, I don't know what you had done, so I'd be conservative.
@@niamhjohnson7902 yeah me too i got mine off yesterday, the bump makes my profile look straight rather than a how its supposed to be...what did your doctor say
I am exactly two weeks post op. Honestly I am not liking the bridge of my nose at all! It looks like a potato the side hump I had before the surgery is still sort noticeable...Im hoping its swollen and will go away...my doc said I really don't need to tape but I am going to take your word and tape it anyway...Thank you for posting❤
Doctor, I have a septorhinoplasty and my just removed my cast two days ago. I was told not to touch it at all for the entire year. But the swelling in my right side of the nose is growing (it was the side that my nose tip shifted to from my injury that led to the surgery). It was an open-surgery. Do you recommend I do the massage and tape or should I not touch my nose?
the itching is literally keeping me up at night right now, I don't even care that my nose is still stuffed and I can't breath I just want the itching to stop! taking the cast off tomorrow
I’m 40 days post op and still using tapes, The swelling of the right side is much less than the other side, and I feel that one of my nostrils is smaller than the other one, and I also feel that the base is tilted slightly. Would you please kindly advise. Thanks 🙏
Roman Sedhai yes i also had super uneven nostrils they are way better now! Also my nose is less swollen! I suggest you go visit your surgeon thats what i did and i still have follow ups!
Hello, I’m in my 5th month after the operation. I’m still doing massages quite regularly because I have a very thick skin, it is not very very swollen right now, it gets better day by day. BUT after I wear surgeon mask due to covid19, the tip of my nose got swollen a lot. The tip immediately gets wider and swollen even though I wear the mask only for max 30mins in a day. It again gets back to normal after I do massages. But I am confused, is it ok to wear surgeon mask? Or should I wear those transparent face covers instead of surgeon masks?
It is ok and safe to wear masks. Because your nose gets warmer under the mask, it swells up. Your tip won’t settle down to its final smaller shape for 7 more months. After you take your mask off, try gently icing the nose first. This will get it to shrink faster. Also your thick skin can be managed with topical Retin-A to resurface the skin and thin it out a bit more.
hey dr. i’m 20 days post op and my nose is really swollen, my doctor taped it the second week and the. told me not to tape it anymore as all the touching and putting the tape on/off would make swelling increase. but i see a lot of surgeons recommending this for swelling management, so i’m confused and don’t know what to do
There are only a few reasons why you might have a bump after your rhinoplasty: 1. not enough hump was removed, 2. you are developing a periosteal reaction in the bone and it is swelling, 3. there is a small particle of bone/cartilage that got left behind, 4. your surgeon placed a cartilage graft and it is now showing, and/or 5. you are just seeing swelling of the skin as a bump. Depending on where you are in your recovery since your nose surgery each cause has a specific remedy. I would recommend that you speak with your surgeon. Often touch-up procedures are quite simple. If you have any questions, you can email me your current photos to info@drmanishshah.com and I can maybe give a little more guidance.
Monika Platt do you still have a bump? I just got my cast off today and I’m experiencing the same thing.. my doctor did warn me though that this might happened because I have such thin skin and bruise easily.
When can you generally see the final look of the nose?? After how long. I’m 3 months post op and I feel like it gets swelling some days and it looks like the tip went down and not lifted like it was the first month I’m actually really sad.
Once it’s out, I couldn’t put my in at all, your nose immediately gets swollen once the cast is of. Also you can’t massage it or wash your face properly with the cast. I found tapping and massage to work extremely well for me in the week following my cast removal
Doc! I have a question about thick skin my first operation was great yet it changed after couple of years, the main issue was not the tip as i did sinuses and a minor fix for bridge. Now i decoded to redo my surgeon encouraged me another opinion said my skin is so thick and i will mess it up. Can i send u pictures to take your opinion
Hi. Of course you can send pics to info@drmanishshah.com ---> the only problem is that I can't feel your skin to really know how thick it is. I can get an idea from good photos and make some recommendations for the presurgical management of thick skin in rhinoplasty.
Hello Dr. Manish Shah, I had a revision Rhinoplasty done 2 weeks ago and my recent doctor had to take out a what we discovered was a too large of an implant on the bridge of my nose extending to the tip. It was so long that it was very noticeable and if I hadn’t taken it out it would have pierced out of my nose. My doctor was able to perform the removal and use my own cartilage to repair the tip, etc. I’m very worried though now because the tip of my nose is a light colored lilac color. I’m hoping it’s bruising from inside/outside and not damage to my blood flow for my nose. Is it normal to have discoloration just at the tip after 2 weeks? Thank you in advance if you’re able to answer.
Hello Doctor, I had a rhinoplasty 7 months ago and I am still swollen and been having frequent sinus infection and congestion. my nose has been swollen ever since the surgery and it's been 7 months. Is this normal to have frequent sinus infections and congestion as well as being swollen after 7 months? I been using nasal sprays. But every time I catch a cold, it is back to square one with the swelling and congested feeling.
Can I put arnica gel on my swollen parts of the nose?? & also how do I sleep... I am concerned because I used to have a prominent bridge since I had a bump but now that’s it’s gone you can’t see the bridge of my nose & it makes me feel so uncomfortable idk if it’s because of the swelling or what! Please give me your advise doctor!!
Arnica gel may help. Taping can also show you the bridge that you will develop by one year. If it looks wide it may be swelling, but it may also be how the surgeon left it. The taping can help you see the difference.
i had surgery a week ago. i am disappointed as I asked for a smaller tip amongst other things but it still looks the same... could it be swelling? the rest of my nose hardly seems swollen
Hi doctor, I had rhinoplasty 20 days ago one side is more swell than the other, also I feel a small almost not noticible at all but I noticed a very light dent on side my nose close to the tip, btw I had closed cosmetic rhinoplasty
Thank you, Dr. Shah. I’m three weeks post op and two weeks out of my splint. Will definitely begin taping and massaging starting today! Can I wear the tape during the day, too? I wear reading glasses and it is more comfortable w the tape. Again, thanks for this video because anything I can do the move this process along is very much appreciated!
Buy something called a Rhinoshield to protect your nasal bones from getting pinched by your reading glasses. You can wear the tape during the day for no more than 2 months after surgery.
It might take longer to see the underlying shape of the nose. Your results may not be as sharp as you would like because of underlying scarring that wasn’t getting manipulated by the taping.
Dr. Shah what should I do if my nose swells up after the gym I went back for the first time today and now it’s throbbing and kind of swollen I am two days shy of two weeks since my surgery
hello im 5 months post op i have formed like this small bump on the left side of my bridge but when i tape it looks like its gone over the tape but when i take off the tape this bump is still there ..whats the reason for this?
You are thinning the skin a bit. Try a little topical 1% hydrocortisone cream to see if you can get the bump to go away. Try it for one week. If no luck, then stop.
Hi Doctor. I am 7 days post op surgery. I had a septorhinoplasty done to fix my deviated septum and reduce the dorsal hump. He also did a very slight tip lift and my doctor said I needed the columella shaved in order to have a better profile. I feel so hideous right now. My nose is no longer slim and long like I liked and now it is short, wide and pig like with a point. Will the tip drop and look normal again once swelling goes down? Or am I going to have to get a revision done? I am so sad and have been feeling depressed to the point where I want to drop out of college and not go outside anymore. I have contacted my surgeon but I think he is ignoring me because I had an anxiety attack after my cast removal because it looked like not what I wanted. Can I send you pre and post op pictures for advice? What do you recommend? Any help is appreciated.
aarya nol you are only 7 days postop. You have a year until your nose is fully healed. Pace your anxiety. If you have a history of panic attacks or anxiety it is imperative that you work side by side with a/your therapist while you heal to give you perspective. I’d be happy to look at your before and afters to give my opinion. You can email at info@drmanishshah.com.
Armenti R many surgeons don’t require their patients to do this. It is my belief that taping and gentle massage helps guide the healing. If your nose looks perfect to you then I’d recommend staying the course. In other words, if it’s not broke don’t fix it.
Had revision surgery 3 weeks ago (thick skin) and my left side profile looks short and just fine but the right side is much longer and it makes no sense to me how that’s possible, could this possible be swelling. Also nostril holes being two diff sizes. Any guidance on this would be so appreciated as my anxiety is through the roof.
Excellent video! Thank you so much :) I'm 6 months post op and I still tape every night and leave it on whilst I sleep. When I wake up my nose looks much nicer, it's more slim. It stays like this for maybe a few hours. My question - Is the appearance of my nose after I remove the tape a sign of what my nose will look like when it is fully healed?
Hi Doc, on my 2nd week post op. Inside my right nose the septal wall is still swelling covering the air passage completely. What is the easiest way to reduce the swelling so I can breathe on both sides of my nose. Is a steriod injection an option?
Hi Patrick. At 2 weeks postop there should never be that much septal swelling that it blocks your airway. Please go see your surgeon to make sure that you don't have a septal hematoma. If you do not have a septal hematoma, then your surgeon can consider putting you on oral steroids to reduce the swelling. I do not recommend injections of steroid to the septal tissues because of the increased risk of a septal perforation.
Hello doctor I have a huge question hopefully you can answer it .. I just had surgery on July 29 it was septoplasty with rhinoplasty ! I did it with a ent doctor because i couldn’t breathe so he ended doing the jumó I had in the middle and now that the cast is off it’s straight when you look at me from the front but if you look at me on my side profile from the right you feel a slight bump still and on the other side there is no bump is that normal? Will that bump go away or does that mean he didn’t fully shave it down?
Hello Dr. Shah Since I'm entering my 7th week of post-op and still suffering from the swelling of the nose tip, do you advise at this stage : - applying Arneca cream/gel ? and/or - Massaging ? Thank you again 🎩🙏🙏
Hi doc. My nose is still crooked and I had a ct done to check what's the problem. Apparently the crooked bone was not foxed only the septum, thus comes my crookedness(( Do I need a revision rhinoplasty?
My patients wait about 2-3 months before reinserting the nose ring to avoid infecting the nasal tip. I would ask your surgeon for their guidance since they know the technical details of your procedure.
I am 4 days post op from cast removal. My doctor told me not to tape my nose. I have thick skin & my nose is very super swollen which I expected. My doctor told me the tapping isn’t necessary since it can pull and tug onto the skin so letting it naturally go down is better for me.
Surgeons have different opinions on taping and massage. Just follow your surgeons rules. That being said, thick skinned patients do the best with taping. You will need steroids most likely to reduce your swelling and that carries a risk of complications.
@@ManishHShahMDFACSDenver i figured. Ive been taking ibuprofen to help but i think he might consider a steroid shot down the road we will see! Thank you🙂🙂
Hi , I had my septo_rhinoplasty 1.5 month before for dorsal hump removal and deviation correction . Now I’m feeling my nose tip is tilted to right side and one side of my nose looks more swollen then the other . What’s the reason ? Will it cure ? I’m really worried . My nose looks so weird 😢
This is normal. Decrease your salt and alcohol intake. Try taping and massage. The right and left sides of the face drain swelling differently and this is why everyone sees a small amount of asymmetry. Our lifestyle can make it worse. Follow my suggestions in the video with the permission of your surgeon.
Dr. Shah, great video. I'm 2 months post op after dorsel hump open rhinoplasty. The tip is droopy. Not elevated. I hate it! My nose is longer at 7cm too ! Please, will it improve in time? I'm so depressed.
Hi. In general, if someone has a hump only rhinoplasty and that hump was the reason their tip was not droopy in the first place, then removing the hump removes the lift on the tip and the tip drops. Preoperatively, this is known as a “tension tip”. If it doesn’t improve, it is relatively easy to rotate the tip back up and shorten the nose in the office under local anesthesia.
Hi I had a Rhinoplasty 2 years ago and I’m somewhat happy but I feel that it’s still swollen. When I got my cast removed they said I was one of the most swollen pts they’ve had. I looked like shrek. It’s gone down but I feel that it’s still swelling especially at the tip and causes my nostrils to look a little uneven. Do you think I should get kenalog shots?
Taping might help, but only in concert with steroids. I don’t recommend steroid injections at this point. What I would consider trying is micro needling of the nasal tip skin no deeper than 1mm followed by the spreading of liquid Kenalog (steroid) onto the treatment zone. The little micro needling holes allow for gentle, even distribution of the steroid without the risk.
Hello Dr Shah, I am 20 days post-op. I have more swelling in the tip of my nose internally which is producing a bit of discomfort/ stiffness on one side. One nostril seems bigger than the other. I don't know if this is due to my doctor bringing my nostrils closer into my face. Moreover, my nose has been getting more movement, thus, I have been feeling a few dashing feelings/ tingling around my face (upper lip, cheeks) is this normal? Thank you,
Hey doctor Its about a month i did nose job. The thing is my tip is still swelling and when i touch of my tip i feel something in front of my teeth like connection?!
I really appreciate how responsive you are to everyone’s comments! I don’t have any questions, just wanted to commend you on your excellent feedback! All the best to you 😃🌸
Iron Woman that’s nice of you to say. Thank you!
I’m highly thankful for Vedio,this is very informative and helpful for me last week I had Rhinoplasty I was facing same swelling problem.
I'm glad that the video was helpful.
I just had FFS which included Rhinoplasty 3 weeks ago, So your tips are very helpful thank you for taking the time to do this video video.
You are welcome :)
I am now 10 days post op and four nights into taping my nose and I honestly see a tremendous change in my nose and how I wanted it to look like! thank you so so much!! I was really worried that I might look like a dinosaur at first but now I’m slowly seeing my nose change into my dream nose ❤️
You’re welcome :)
what was wrong with your nose after the op? what didn’t you like about it ?
Omg I look like a dinosaur 😫😫
@@nikkicaiello is it good now
What should we do for tip swelling
i’m 5 days post op and i was worried about the after swelling so thanks for this! very helpful
How are you recovering 3 months post up
Girl I can’t smile 3 weeks after but swelling is gone mostly? Did you get your upper lip too
Your Instagram?
How is ur nose now...pls reply...becoz I hvg somuch swelling after my rhinoplasty
I’m day 3 after septoplasty and my nose is grossly swollen. I have no bruising, just lots of swelling.
That has helped me massively, I've been really struggling with my swelling since my rhinoplasty 3 months ago!
I'm so glad that it has helped you.
I'm 1 month post opp and I feel like my nose is still swollen alot, especially inside.
Is yours like that?
Peepgirl 92 same
How is it now?
Very informative. Thank you.
Love this. Thank you 🙏🏽
This is really helpful. Thank you!
You are welcome!
My Plastic Surgery Was Amazing. No Bruising. Best Dr In Newport Beach
Doctor name? Cost?..
I also went to newport beach! What doctor? I had a great experience as well
14000$ Newport Beach
Thank you for the tip Dr. Shah!
You are welcome.
Thank you!! I love RUclips. My Dr hasn’t recommended any of this for swelling. I am 9 weeks post and still seeing a lot of tip swelling. I have green doing the massages and will now include the taping. I will also inquire about the splint when I return for my 3 month f/u
He is out of town so it makes f/u a tad more complicated being he hasn’t seen me since a week post.
I perform virtual follow-up with my out of town patients. Ask for a quick video visit with your surgeon to check in. Good luck :)
Thank you for the great tips! Going to put some tape on lol
My surgeon told me to wear tape for 6 months 24/7. I can't wear it 24/7 because I have to go to work and I don't want to look like a freak but yeah it just shows how important it is to tape all the time
Thank you for this great video. I had an open rhino plasty and loved my results until after going to the gym my nose swelled up significantly. That happend 5 months ago but my nose hasnt really gone back down to how it looked. my doctor said i should massage which I am doing but like you said in your video I still wake up with a swollen nose. I am black and have thick skin. would taping still work for me at this stage. I had my surgery 7 months ago.
Hi. Swelling can last up to a year. If you have thick oily skin, you may benefit from topical Retin-A cream to reduce oil production. This can thin out the skin a bit. Another option is the use of low dose Accutane. Occasion you might benefit from steroid injections. Speak with your surgeon about these options. Good luck.
When did you start going to the gym again after surgery? Did you wait a month?
Nitpicking Nerd sounds like this person went to the gym only 2 mths after the surgery.
@Nigeria Biz Review Please tell me in how many days your swelling has reduced
When did you go gym how many weeks were you post up?
Nice! Thank you
Thanks, Dr. Shah!
You’re very welcome!
Can cleaning the inside and outside of your nose with an earbud or your finger nail cause damage like 1 week post op (just after all packing, splints and cast is removed)?
It really depends on how aggressive you are. Gently cleaning with moist Qtips is the safest way to go in my opinion. Too much pressure placed on the nose this early might shift the soft nasal bones into the wrong position. That's why my patients aren't allowed to blow their noses for 1 month after surgery. They can wash with bottled saline or use a Neti pot for cleaning gently.
Great tips!! How soon can I start these exercises after my rhinoplasty?! My doctor told me to just stick with the sides for the first two weeks then the tip on the 3rd
Dr Shah, I wish that I could come and see you! I am in Kent, England. I am over 3 years post-op after a septorhinoplasty procedure. Swelling is almost the worst it has been! I have not been advised by my surgeon to do any massage techniques, only taping (which I only started doing 18 months post-op, I wasn't advised to do so sooner). I deeply regret my decision to have the procedure done. :(
I’m sorry to hear of your troubles. I conduct virtual consultations and can perform some assessment via email with high resolution photos. Please email me at info@drmanishshah.com.
Thank you so much for this info!! How long after the operation can I go back to exercise specifically fitness
?? Please be so kind to answer ; )
Hello. You are welcome. Subscribe to my channel and find me on Realself.com to see my rhinoplasty discussions. My patients go back to the gym for cardio at 2 weeks postop and then start weight lifting at 4 weeks after surgery. Exercise will increase swelling so I recommend icing after exercise. Good luck!
@@manishshah3501 Thank you so much for your reply! ; ) Very appreciated...
Hi
Would you be so kind answering me why the scar inside my nose looks “divided”, is it because it’s swelled? My problem is inside and not outside
Tkx
Without seeing a picture, I can't really answer the question.
Got the same thing
Ya where my nasal bone is by my septum, the skin is like really far away from the bone, not sure if its swelling but its freaking me out cuz it's just on 1 side
Shah Aesthetic Surgery Hi Dr. are the massages and tape necessary for a good result? I am worried I could ruin my rhinoplasty.
The subject of rhinoplasty the nose is very beautiful
thanks
Can i apply Arnica Gel on the nasal tip too help with swelling.?
Yes you can.
Hi! Just did a rhinoplasty 2 weeks ago. I did the tape thing and alot of my skin peeled when i took of the tape. What should i do?
Yasmine Tete take a break from the tape to let your skin heal. Once the skin is healed you can try medical paper tape. But if you have a tape allergy, then skip the taping portion and just use the massage.
I had a deviated septum from a jaw surgery that I had, and had a septorhinoplasty done. My dorsal hump was removed, and septum was corrected. I kept my splint, and used it whenever I had my glasses on. However, my doctor never explained any of the things that you are explaining now. I wish he did. The tip if my nose still looks bulbous. The hump was fixed, but now if you look at my nose, it either looks like it has a very slight hump, or as you get to the tip, looks like it has collapsed a little. 🥺
How do you feel 8 months later? Did it correct itself?
Hi Dr.Shah! Thank you so much for this video :) I just had a question regarding thick skin. I just had my rhinoplasty two weeks ago and I’m very worried about scar tissues occurring and being viable in my nose. Do you have any tips on how to decrease scar tissue from occurring?
Hi Maria. I think the best way to reduce scar burden is to control swelling with the techniques I've described. Also control the oily nature of your skin with retinols.
How long after surgery does congestion last, I’m day 5 post op and I know this is normal I’m just curious as to when I will see this go down.
I know this is gross but you might want to take a pair of tweezers and pull the boogers out. My surgeon did this for me since I wasn’t blowing my nose (you’re not supposed to) and they were all stuck up there making it hard to breath
Hi I have a question, I was very impressed with my result after the splint was removed at day 7, nose was nice and straight with a refined tip, but now despite strictly following after care instructions, at 3 weeks I can see the middle of my nose start to grow a slight hump like the one I used to have pre rhinoplasty, and im worried as Im not sure if this is the actual bone thats swelling or cartilage, id appreciate if you could respond when you have a chance thanks!
If your surgeon is ok with it, I would recommend secure taping of this area at night to shift it into a more straight and flat position. During the day, the tongue depressors can be used to iron out/squeeze out swelling in the cartilage and skin.
Same problem with me
How is it now ? I have same issue
Any improvement? I have this issue also.
glad I found this, surgery is in 2 days
Good luck with your procedure. I hope it turns out as you'd hoped :)
@@ManishHShahMDFACSDenver I'm 1 week post op. Feeling great! Question for you. Should I be concerned about my covid mask leaving a dent on my nose? And if it did leave a dent, is that permanent? Or just because of the edema still on the nose? thanks!
Cheryl Ferry yes you should be concerned. Ask your surgeon for another metal splint to wear first and then wear your mask. Or tape your nose down during the day and then wear your mask.
@@ManishHShahMDFACSDenver ok I will, thank you!
Very informative video! I recently had a septorhinoplasty with ear cartilage graft - would it be safe for me to do the massages and not cause the graft to shift position? Many thanks
It depends on how the ear cartilage was used. If your surgeon gives you permission to tape and massage then please do it. It can be very effective in the majority of postop situations.
Thank you so much for these tips. Im 2.5 weeks post op and have been struggling immensely with swelling and post op blues. How soon can I start these exercises? Is it okay to start now? I read that I should wait 4 weeks. Also how many months do you recommend doing these exercises for?
My patients start as soon as the splint is removed. They perform the exercises for 2 months until the nasal bones have solidified and 80% of the global swelling is gone.
I have very thick, oily skin and my surgeon reduced my nose size by a large margin. I'm at about the 4 month mark and it's bumming me out because every other week it swells up. It will start to go way down, and when it goes down it looks beautiful. Straight and small. Then I'll make the mistake of taking a couple shots of alcohol and hitting the gym, thinking maybe I'm past the point where it will keep swelling. Then, just like clockwork the supratip and tip swells up the next day and stays that way for a week. Then it goes down again.
I understand at this point I'm pretty much just waiting for the skin to shrink and fit my nose. It's just driving me crazy because I feel like I can't live my life while I'm waiting for the nose to settle. I'm always worried if I touch it the wrong way or raise my blood pressure that it will swell up and never come down.
Am I just being paranoid? Will there be a time that this swelling will stop and the nose will shrink for good?
Hi. Be patient. What you are experiencing is very common in oily noses. A little trick I use for my patients with oily skin is the application of OTC hydrogen peroxide on the T-zone of the face at night to kill the bacteria in the pores and reduce the oil output. It works wonders. You should go ahead and live your life without worry. On the days that you know you've eaten things or done things that will swell your nose, perform the massage and tape overnight to hold off the swelling so you don't find yourself fretting for a week. As long as your skin doesn't get irritated from the paper tape, you should do fine. This combination of actions should give you incredible peace of mind when followed intelligently. Good luck.
Agent47rulz how s ur swelling going? I am 8 months post op and having such hard time with swelling
Good
Hi Dr Shah, love how responsive you are! I just had my nose done about 1 month ago and have developed a slight bump. My surgeon said it’ll go away and there’s no need for do anything or worry about it but I was wondering if I should follow the massage tips you mentioned and tape even when told it was not necessary!
Thanks in advance :)
Hi Situl. I always recommend that you follow your surgeon’s instructions. However. If the bump isn’t gone in another month, I would ask about steroids and taping. Good luck!
@@ManishHShahMDFACSDenver Will do! Thank you so much :)
I'm 10 days post op.
Thanks for the super helpful video. Just wondering my surgeon didn't ask me to tape my nose. Is it okay?
Just ask them first. I don't like to step on anyone's toes. It should be safe as my patients have been doing this for the last 17 years.
if someone doesn’t live near you but wants a rhinoplasty from you , how soon after a consultation could you get the surgery?
Hi. Great question! I have patients who visit me from out of state regularly. We usually start with an online consultation using Skype or FaceTime. Once I know what you are trying to improve with rhinoplasty, we come up with a plan together, and my staff send you a price quote. If you decide to go forward with surgery, we do a preop appointment online. Surgery is paid in full at preop. We then have you come into town the day before surgery to sign all paperwork, take photos, and perform simulations. The next day is surgery and I have you stay at least over the weekend. Ideally I would prefer you to stay one week so I can remove stitches. But if you have to get home to recover, we try to find a Surgeon comfortable enough to remove stitches, etc. near your home.
Shah Aesthetic Surgery thank you so much!
@@luvlibunnyy you are welcome! :)
Shah Aesthetic Surgery if you do the online consultation first and you get a price quote, will the price change after the real life consultation?
Just had my surgery yesterday been nothing but pain I don’t know if it’s due to swelling or what but this shit hurts can’t wait to see the results after the swelling goes down tho.
How is it going?
Hello Dr, I had a septoplasty just over a week ago. The splints and cast have been removed, so would it be safe for me to do the taping and massage/icing without causing damage to the septum?
I would clear it with your surgeon, but my patients start with taping and massage on post op day 7. Too much pressure can damage the septum.
I just got my cast removed. I’m 9 days post op! And I feel hideous. My nose is like a potato now. :( also when he removed my cast I still had a slight bump on the bridge :/ should I be worried. He explained my skin is very thin and there was a lot of swelling still. Also he showed me my after picture while I was under and there was no bump. So I hope it goes down 🤞🏼
You are very early after surgery. The slight hump is swelling under old hump skin. That skin needs to shrink wrap. If your surgeon is ok with, use my bridge taping regimen I show in the video to manage that skin and get it to lay down nicely. In ethnic noses, swelling can be quite excessive so be focused. Increase your protein intake and cut out salty foods/alcohol. Ice down after exercise or sex. These little hacks will help control the shape of the nose more effectively than just waiting for the skin to de-swell. The bridge will de-swell in 2-3 months and the tip in one year, so be patient.
Shah Aesthetic Surgery wow thank you so much! And for the quick reply! I will ask about your taping method! And I am icing away! My tip was actually nice prior to surgery. Just had a skinny nose with a hump. He gave me a slight slope and made my tip slightly smaller to match my new nose! I’m seeing improvement it’s just the bump that is slightly there! I hope it will all start to come together and I will try not took obsess over it!
Me to i am 2 weeks after sergey now I noticed a pump on the left side of my nose my sergey was in 17 Jan
@@genrod-gal7265 one year is a long time so please do be patient. Good luck!
@@loramerano3935 see my reply to Genny.
I just had rhinoplasty literally a week ago and I was so excited at the cast removal but I started crying cause I feel like my nose looks exactly like it did before. It's not as crooked as it was maybe, but I can still see a little bump on it, and it's DEFINITELY not straight like I wanted it to be. The nurse said this is just due to swelling, and once the swelling goes down the bridge will be straight. I don't know what to believe. I'm confused, depressed, and mad cause I feel like I paid a lot of money for nothing. Has any of you gone through something similar? Will my nose look better once the swelling is gone?
Valentina Ferrari she’s right mine looked huge bigger than what it was and i was depressed af, keep the bandages on it help with the swelling you’ll see the final result after 3 months
I just took off my cast yesterday snd the only problem I have is that I can’t close my right eye fully. There’s like a tiny slit open and it sucks. Im pretty sure its not normal, is it because my face is still kinda swollen? Can you close both your eyes?
J that didn’t happen to me the only thing was my nose wasss huge and had pores and loads of blackheads
as as ik what you mean, he also wants me to put tape back on my nose when i go to sleep but the problem with that is the tape makes my nose sticky
J yeah I tapped mine every night for three months helps with the swelling
Hi doctor, just about 4 full months post op, closed Septo/Rhino with bridge narrowing and tip refinement. I had a wide bridge with a bulbous tip. I wasn’t told whether i had thick or thin skin so I’m not sure. I also wasn’t told by my doctor either way, whether to tape or not, and I didn’t know at the time to ask that question. I still get “achey”’along the sides of my bridge, maybe due to what I ate or drank that day, I’m not sure. I also still have a great deal of swelling in the tip, it’s still very round w slightly more swelling on the left side of the tip so it appears crooked, even more so when I smile. From underneath it looks boxy and not refined at all. I wish I had taken photos immediately after cast removal bc I remember being happy w what I saw that day, not realizing how much was going to swell and forget what it looked like! I know I’m still early in the tip healing process but I feel like I’m not seeing much change in the tip now. I only had a 1 week follow up for splint removal and then a 1 month follow up and I was discharged 🤷🏻♀️. no other appointments unless there’s a problem. I thought that was odd, but maybe varies by doctor. My question is, would taping and massage at this point still help? Like I said he never said NOT to do those things. Thank you so much in advance. Please help bc I pray that the results I have right now are not the final! And I will be making an appointment soon to see him.
It won’t hurt to try. Tip swelling leaves by 12 months postop. Also ask your surgeon for a Medrol dose pack of oral steroids to help accelerate the reduction in tip swelling.
@@ManishHShahMDFACSDenvergood morning doctor from the East Coast! Thank you so much for the reply, especially so soon, and on a weekend🙏🏼
I will tape , and do what you recommend when I get an appointment. God bless for all your help to all of these people!
Thank you Doc
Can you recommend a caffeine cream or tape to use? I got this from co2 laser 8
Weeks ago and it won’t go away. My doc is saying wait it out but I hate it and only on one cheek It’s small but noticeable. Thank you
I am 2 months post op and i still wake up every morning swollen. I need to say that i have thick skin and also after rhinoseptoplasty my skin became sooo oily. I am so worried that i ll be forever swollen😢 it s such a difficult process.
Your nose will swell and deswell cyclically over the next 10 months before everything settles down. If you have thick skin some options might include: 1. topical Retin-A cream on the nasal skin or 2. low dose oral Accutane. It can help thin out the skin and reduce the oilyness. Those with thick, oily skin will have swelling the longest.
Shah Aesthetic Surgery Thank you so, so, so much!!! Thanks from my heart! I admire all the surgeons who make time to respond to everyone's concern!! Sometimes even some small words and encouraging does so MUCH! I've been told that thick skin takes longer to settle down but until you don't see it on your own skin you cannot actually believe it. Also all this "dents" that we gently feel under skin after the bones have been broken will they settle down in time? I mean you can feel them, not see them as much. Thanks again for the reply! With all respect to you DOCTOR🙏
@@jammiejo185 you are welcome. The edges of the nasal fractures may always be palpable. You just want them to not be visible. It takes some getting used to. If you can't ignore the feeling of the edge, it can be adjusted in a year under local anesthesia.
I’m nearly 4 months in an I’m so swollen still , I get headaches all the time an inside my nose is all swollen an red , I’ve been to see the surgeon and he said it looks fine but now I have these small bumps along the middle of my nose an it sticks out an also a small bump on the side of my nostril that looks awful , he said it will go in a few months an that it’s either scar tissue or pockets of air because of the swelling and my nose is still very stiff , I’m not happy with my nose at all an it’s really worrying me that I’m stuck like this esp with the bumps to i feel like he’s not telling me the whole truth an says things to get rid of me , I have a hump on my nose an at first it had completely gone but not with the bump I’ve now got it looks like I’m getting it back again 😫
@@kellylovejoy2169 you really shouldn't be all that swollen at 4 months. The tip area definitely could be swollen, but the bridge shouldn't be. Full rhinoplasty recovery takes one year. You are welcome to email me your photos to give you some guidance if you'd like. Photos from the front, both sides, and a bottom view to see your nostrils are really helpful. Email them to info@drmanishshah.com
My girlfriend’s nose is tilted upwards and seems piggish after the nose job. Is it possible to correct it using tapes?
Peter Daniel it will go down with time!
It might go down with time.
Thanks for this video Dr Shah!
After an open rhino, on average, how many weeks does it take :
- for a patient to get their sensation and movement of the upper lip back?
- for the nose tip settle down from being excessively upturned after rhino?
Can you update us on the nose tip being upturned?
Pls reply sir about your upturned nose
hello Dr, just wanted to ask that.. after your surgery did you feel in the first or second week that the tip of your nose is slightly more upwards and uplifted as compared to before surgery
Hi :) That is actually quite common. It is due to swelling. Once the swelling subsides the tip drops into place. It can also be due to the amount of tip cartilage removed. The more that is removed, the more the tip naturally rotates to fill in the deadspace.
Hello octor ! Many thanks for this video. I m 2months and a half post op and feel lumps under my bridge right where my septum was corrected. Moreover I feel like bones on both sides of my nose where the hump was removed. Therefore my 3/4 profile looks irregular. Do you think that might be swelling for both situations or it looks like it may need a revision including osteomtomy to solve the second problem ? Thanks for your advice if you get this message. I'm quite Desperate atm. Many thanks again ! Ls
You might be describing an open roof deformity. But thin skinned patients can feel lots of detail as well. Is your skin thin?
When can i start massaging after rhinoplasty?
My patients start at post-op day 7.
Shah Aesthetic Surgery and put tape on nose too? after 7 days?
@@bartekjnk1060 Yes. My patients tape for the first 2 months after surgery at night before going to bed.
How much work can a doctor do using local anesthesia?!
Depending on the patient, I perform the following procedures in office under local anesthesia: facelifts, browlifts, tip rhinoplasty, ear pinning, cheek implants, chin implants, lip implants, buccal fat pad excision, facial fat transfer, small areas of liposuction (face and body), breast lifts, mini tummy tucks, and reverse tummy tucks. All patients use Valium and Pronox as well to bring comfort during the numbing injection process. It is incredibly well-tolerated and most patients tell me that the average pain score for the procedure is between 2-4 total for the whole procedure.
Manish Shah amazing..thank you great doctor
@@blackdiamond6189 you are welcome :)
my whole rhinoplasty was done under local!
Hey, I had my rhinoplasty 2 weeks ago. I had a deviated septum and a bump in my nose. Around 1 week ago my surgeon removed my splint and revealed my nose. It was very swollen, as expected! Everyday I’m seeing new things on my nose, the latest being the fact that my nose is still a little crooked! I’m not sure if it’s going back to how it was before or if it could this be due to swelling coming down on just one side? Could you please advise, can swelling make you see things? thank you in advance sir.
Getting a purely straight nose on a normally asymmetric face is pretty much impossible. But swelling this early into your recovery will hide how much improvement you actually have.
Hey Dr. Shah! I love how responsive you are to all the comments even recently. I had a quick question. How accurate are the surgery table photos taken right after the procedure is done under anesthesia? Can I expect those results to be similar to the final result I will see in one year? I had a tip plasty with a rib graft inserted into my tip and I really love my after results that I saw in the operating room table pictures, however right now I have a lot of swelling due to my thick skin and I was just wondering if there was hope to have a similar result as to the surgery table pictures. Thank you so much
You will need to be vigilant and stay on top of your swelling reduction strategies to get the result you saw on table that existed before swelling and scarring set in.
@@ManishHShahMDFACSDenver Ok so if I tape and massage my nose every night and eat clean I should expect The table results as my final results?
@@harshitaganipineni6289 you may also need steroids and topical Retin-A. For significant skin thickening, you might consider low dose Accutane.
Hi, exact same issue has mine. Did taping help you?
doctor i need your help im 2 months and 3 weeks post op and and my nose is swollen and the tip is super high and it looks like a pig nose 🐽 what can i doo im super sad
spicyy tea how s your nose now?
Did your nosetip drop?
Spicyy tea
I've got the same problem😢 How's your nose now?
spicyy tea me too 😭
I am 4 weeks post op and have developed a small hump on my bridge. My Dr didn’t advise me to massage at this point. I will see him at 6 weeks. What is this and Will this go away in its own
It's hard to know. Just wait until your surgeon says it's ok. Or ask about nighttime taping at least. At four weeks your nose is solid enough to tolerate that. That being said, I don't know what you had done, so I'd be conservative.
Ok thanks!
Hey has the bump gone away? I have the same issue after surgery
Dalia Karhani I also do, I just got my cast off today and am really upset.
@@niamhjohnson7902 yeah me too i got mine off yesterday, the bump makes my profile look straight rather than a how its supposed to be...what did your doctor say
I am exactly two weeks post op. Honestly I am not liking the bridge of my nose at all! It looks like a potato the side hump I had before the surgery is still sort noticeable...Im hoping its swollen and will go away...my doc said I really don't need to tape but I am going to take your word and tape it anyway...Thank you for posting❤
Did your bridge go down? I have the same problem too 😭
Has this problem resolved? I’m having this issue now 😢
Doctor,
I have a septorhinoplasty and my just removed my cast two days ago. I was told not to touch it at all for the entire year. But the swelling in my right side of the nose is growing (it was the side that my nose tip shifted to from my injury that led to the surgery). It was an open-surgery. Do you recommend I do the massage and tape or should I not touch my nose?
I recommend that you follow your surgeon’s instructions as I do not know your case.
How do you deal with the itching under the cast. It’s driving me nuts. Lol
Benadryl tablets unless there is an indication of an allergic reaction to the splint going on. Speak with your surgeon and have them check.
It’s not constant. Just sometimes I get an itch under cast I think because of healing and I can’t get to it. It’s awful.
Then Benadryl is perfect for this. Be patient as your cast should come off by day 7 after surgery.
the itching is literally keeping me up at night right now, I don't even care that my nose is still stuffed and I can't breath I just want the itching to stop! taking the cast off tomorrow
Rhonda Hood same im 5 days post serugeey and the itching just started yesterday
I’m 40 days post op and still using tapes, The swelling of the right side is much less than the other side, and I feel that one of my nostrils is smaller than the other one, and I also feel that the base is tilted slightly. Would you please kindly advise. Thanks 🙏
Kani Meriwan i also feel like this! I am 4 weeks post op!
I'm 2 months post op !!
But I still fell that 😭
Roman Sedhai hey i just turned 3 months! My nose is WAY better now! Honestly just give it time!
@@GG-ce9ol is your nostril are also uneven before !! And your left side swelling goes down or not
Roman Sedhai yes i also had super uneven nostrils they are way better now! Also my nose is less swollen! I suggest you go visit your surgeon thats what i did and i still have follow ups!
Hello, I’m in my 5th month after the operation. I’m still doing massages quite regularly because I have a very thick skin, it is not very very swollen right now, it gets better day by day. BUT after I wear surgeon mask due to covid19, the tip of my nose got swollen a lot. The tip immediately gets wider and swollen even though I wear the mask only for max 30mins in a day. It again gets back to normal after I do massages. But I am confused, is it ok to wear surgeon mask? Or should I wear those transparent face covers instead of surgeon masks?
It is ok and safe to wear masks. Because your nose gets warmer under the mask, it swells up. Your tip won’t settle down to its final smaller shape for 7 more months. After you take your mask off, try gently icing the nose first. This will get it to shrink faster. Also your thick skin can be managed with topical Retin-A to resurface the skin and thin it out a bit more.
@@ManishHShahMDFACSDenver Thanks a lot for your quick reply on this, I really appreciate! This will help a lot.. Stay well, stay safe ♥️
hey dr. i’m 20 days post op and my nose is really swollen, my doctor taped it the second week and the. told me not to tape it anymore as all the touching and putting the tape on/off would make swelling increase. but i see a lot of surgeons recommending this for swelling management, so i’m confused and don’t know what to do
It works well for my patients. But follow your doctors orders. Consider steroids.
Why do I have a bump after my Rhino?! 😭 I’m Devastated!
There are only a few reasons why you might have a bump after your rhinoplasty: 1. not enough hump was removed, 2. you are developing a periosteal reaction in the bone and it is swelling, 3. there is a small particle of bone/cartilage that got left behind, 4. your surgeon placed a cartilage graft and it is now showing, and/or 5. you are just seeing swelling of the skin as a bump. Depending on where you are in your recovery since your nose surgery each cause has a specific remedy. I would recommend that you speak with your surgeon. Often touch-up procedures are quite simple. If you have any questions, you can email me your current photos to info@drmanishshah.com and I can maybe give a little more guidance.
Monika Platt do you still have a bump? I just got my cast off today and I’m experiencing the same thing.. my doctor did warn me though that this might happened because I have such thin skin and bruise easily.
He's hot
😂
When can you generally see the final look of the nose?? After how long. I’m 3 months post op and I feel like it gets swelling some days and it looks like the tip went down and not lifted like it was the first month I’m actually really sad.
It will take one year to see the final results in a primary rhinoplasty and 2 years or more in revision rhinoplasty.
Wouldn't continuing to wear your splint do the same job without all the mess?
Once it’s out, I couldn’t put my in at all, your nose immediately gets swollen once the cast is of. Also you can’t massage it or wash your face properly with the cast. I found tapping and massage to work extremely well for me in the week following my cast removal
Doc! I have a question about thick skin my first operation was great yet it changed after couple of years, the main issue was not the tip as i did sinuses and a minor fix for bridge. Now i decoded to redo my surgeon encouraged me another opinion said my skin is so thick and i will mess it up. Can i send u pictures to take your opinion
Hi. Of course you can send pics to info@drmanishshah.com ---> the only problem is that I can't feel your skin to really know how thick it is. I can get an idea from good photos and make some recommendations for the presurgical management of thick skin in rhinoplasty.
Hello Dr. Manish Shah,
I had a revision Rhinoplasty done 2 weeks ago and my recent doctor had to take out a what we discovered was a too large of an implant on the bridge of my nose extending to the tip. It was so long that it was very noticeable and if I hadn’t taken it out it would have pierced out of my nose. My doctor was able to perform the removal and use my own cartilage to repair the tip, etc. I’m very worried though now because the tip of my nose is a light colored lilac color. I’m hoping it’s bruising from inside/outside and not damage to my blood flow for my nose. Is it normal to have discoloration just at the tip after 2 weeks? Thank you in advance if you’re able to answer.
It can be normal bruising. Speak with your surgeon just in case.
Hello Doctor, I had a rhinoplasty 7 months ago and I am still swollen and been having frequent sinus infection and congestion. my nose has been swollen ever since the surgery and it's been 7 months. Is this normal to have frequent sinus infections and congestion as well as being swollen after 7 months? I been using nasal sprays. But every time I catch a cold, it is back to square one with the swelling and congested feeling.
That’s not typically normal. See an ENT for an evaluation.
Can I just use regular tape? Where do I buy that nasal tape
Medical tape can be purchased at the pharmacy or a medical supply store.
Can I put arnica gel on my swollen parts of the nose?? & also how do I sleep... I am concerned because I used to have a prominent bridge since I had a bump but now that’s it’s gone you can’t see the bridge of my nose & it makes me feel so uncomfortable idk if it’s because of the swelling or what! Please give me your advise doctor!!
Arnica gel may help. Taping can also show you the bridge that you will develop by one year. If it looks wide it may be swelling, but it may also be how the surgeon left it. The taping can help you see the difference.
i had surgery a week ago. i am disappointed as I asked for a smaller tip amongst other things but it still looks the same... could it be swelling? the rest of my nose hardly seems swollen
It is 100% swelling. It will be a year before it completely shrinks.
Hi dr shah. I am 7 months pre op this is my revision 2nd operation. Can I do this taping and massages at this stage?
Revision rhinoplasty takes longer than a year to heal, so it may be effective to try taping.
Hi doctor, I had rhinoplasty 20 days ago one side is more swell than the other, also I feel a small almost not noticible at all but I noticed a very light dent on side my nose close to the tip, btw I had closed cosmetic rhinoplasty
Hi Roc. Now that 20 years has passed, what are you most bothered by in terms of how the nose finally looks and what do you want to correct?
Hi doc thanks for the video! What if we decide to continue to tape it day and night? Would it make a difference?
Versus taping just at night
It could help but people tend to get skin injury from too much taping. That worsens swelling and prolongs the cycle of recovery.
Thank you, Dr. Shah. I’m three weeks post op and two weeks out of my splint. Will definitely begin taping and massaging starting today! Can I wear the tape during the day, too? I wear reading glasses and it is more comfortable w the tape. Again, thanks for this video because anything I can do the move this process along is very much appreciated!
Buy something called a Rhinoshield to protect your nasal bones from getting pinched by your reading glasses. You can wear the tape during the day for no more than 2 months after surgery.
@@ManishHShahMDFACSDenver Thank you!!
My surgeon hasn't mentioned anything about taping? i am concerned. What happens if i don't tape?
It might take longer to see the underlying shape of the nose. Your results may not be as sharp as you would like because of underlying scarring that wasn’t getting manipulated by the taping.
Dr. Shah what should I do if my nose swells up after the gym I went back for the first time today and now it’s throbbing and kind of swollen I am two days shy of two weeks since my surgery
Linda Cruz ice and taping.
Shah Aesthetic Surgery okay thank you again 😊
hello im 5 months post op i have formed like this small bump on the left side of my bridge but when i tape it looks like its gone over the tape but when i take off the tape this bump is still there ..whats the reason for this?
You are thinning the skin a bit. Try a little topical 1% hydrocortisone cream to see if you can get the bump to go away. Try it for one week. If no luck, then stop.
Hi Doctor. I am 7 days post op surgery. I had a septorhinoplasty done to fix my deviated septum and reduce the dorsal hump. He also did a very slight tip lift and my doctor said I needed the columella shaved in order to have a better profile. I feel so hideous right now. My nose is no longer slim and long like I liked and now it is short, wide and pig like with a point. Will the tip drop and look normal again once swelling goes down? Or am I going to have to get a revision done? I am so sad and have been feeling depressed to the point where I want to drop out of college and not go outside anymore. I have contacted my surgeon but I think he is ignoring me because I had an anxiety attack after my cast removal because it looked like not what I wanted. Can I send you pre and post op pictures for advice? What do you recommend? Any help is appreciated.
aarya nol you are only 7 days postop. You have a year until your nose is fully healed. Pace your anxiety. If you have a history of panic attacks or anxiety it is imperative that you work side by side with a/your therapist while you heal to give you perspective. I’d be happy to look at your before and afters to give my opinion. You can email at info@drmanishshah.com.
Hi nose update?
Hi Dr. are the massages and tape necessary for a good result? I am worried I could ruin my rhinoplasty.
Armenti R many surgeons don’t require their patients to do this. It is my belief that taping and gentle massage helps guide the healing. If your nose looks perfect to you then I’d recommend staying the course. In other words, if it’s not broke don’t fix it.
Had revision surgery 3 weeks ago (thick skin) and my left side profile looks short and just fine but the right side is much longer and it makes no sense to me how that’s possible, could this possible be swelling. Also nostril holes being two diff sizes. Any guidance on this would be so appreciated as my anxiety is through the roof.
It’s typically asymmetric swelling that resolves with time.
Excellent video! Thank you so much :)
I'm 6 months post op and I still tape every night and leave it on whilst I sleep. When I wake up my nose looks much nicer, it's more slim. It stays like this for maybe a few hours.
My question - Is the appearance of my nose after I remove the tape a sign of what my nose will look like when it is fully healed?
It should be :)
Thanks doctor
You are welcome.
What is the reason for not taping the nose tip?
You can tape it if necessary.
Hi Doc, on my 2nd week post op. Inside my right nose the septal wall is still swelling covering the air passage completely. What is the easiest way to reduce the swelling so I can breathe on both sides of my nose. Is a steriod injection an option?
Hi Patrick. At 2 weeks postop there should never be that much septal swelling that it blocks your airway. Please go see your surgeon to make sure that you don't have a septal hematoma. If you do not have a septal hematoma, then your surgeon can consider putting you on oral steroids to reduce the swelling. I do not recommend injections of steroid to the septal tissues because of the increased risk of a septal perforation.
Hello doctor I have a huge question hopefully you can answer it .. I just had surgery on July 29 it was septoplasty with rhinoplasty ! I did it with a ent doctor because i couldn’t breathe so he ended doing the jumó I had in the middle and now that the cast is off it’s straight when you look at me from the front but if you look at me on my side profile from the right you feel a slight bump still and on the other side there is no bump is that normal? Will that bump go away or does that mean he didn’t fully shave it down?
Kathy Tavara it’s hard to tell without seeing you. It could mean that he shaved each side down slightly differently.
Hows your bump now ? I have the same issue
Does this work for a goretex+cartilage rhinoplaty? or this isjust for a pure cartilage rhinoplasty?
It works for both.
Can I do this with splints in my nose?
My dr told me to massage the top because it’s SO swollen
Yes you can. But it’s not as effective as without the splints.
Greetings Dr. Shah and thank you for the generous feedbacks 🎩🙏. Can the tapes exceed 2 months post-op as long as the swelling is still stubborn ?
After the 2 months I would recommend using other treatments such as steroids.
Hello Dr. Shah
Since I'm entering my 7th week of post-op and still suffering from the swelling of the nose tip, do you advise at this stage :
- applying Arneca cream/gel ?
and/or
- Massaging ?
Thank you again 🎩🙏🙏
@@user-sp1ud2kg7z both are good to do. Your nasal tip will lose all of its swelling by 52 weeks postop.
Hi doc. My nose is still crooked and I had a ct done to check what's the problem. Apparently the crooked bone was not foxed only the septum, thus comes my crookedness(( Do I need a revision rhinoplasty?
You probably need revision rhinoplasty.
so.. I had my nose pierced before surgery I’m about 1 week post op & the hole is still open when do you recommend me pushing my stud back in ?
My patients wait about 2-3 months before reinserting the nose ring to avoid infecting the nasal tip. I would ask your surgeon for their guidance since they know the technical details of your procedure.
Dr Shah, how can i get in touch with you?..
You can email me at info@drmanishshah.com
Does this work 7 months post secondary rhinoplasty?
Possibly. It won't hurt to try.
I am 4 days post op from cast removal. My doctor told me not to tape my nose. I have thick skin & my nose is very super swollen which I expected. My doctor told me the tapping isn’t necessary since it can pull and tug onto the skin so letting it naturally go down is better for me.
Surgeons have different opinions on taping and massage. Just follow your surgeons rules. That being said, thick skinned patients do the best with taping. You will need steroids most likely to reduce your swelling and that carries a risk of complications.
@@ManishHShahMDFACSDenver i figured. Ive been taking ibuprofen to help but i think he might consider a steroid shot down the road we will see! Thank you🙂🙂
How much time I will fell hard nose after Rahinoplasty?
Hello ! Does somebody know if doing the exercices more than 3 times a day makes the process quicker ? Or can it be dangerous for the recovery ?
Too much work can shift bones. You can slow down recovery but you can’t make us speed up.
@@ManishHShahMDFACSDenver okay, thank you very much !☺️
Hi , I had my septo_rhinoplasty 1.5 month before for dorsal hump removal and deviation correction . Now I’m feeling my nose tip is tilted to right side and one side of my nose looks more swollen then the other . What’s the reason ? Will it cure ? I’m really worried . My nose looks so weird 😢
This is normal. Decrease your salt and alcohol intake. Try taping and massage. The right and left sides of the face drain swelling differently and this is why everyone sees a small amount of asymmetry. Our lifestyle can make it worse. Follow my suggestions in the video with the permission of your surgeon.
Dr. Shah, great video. I'm 2 months post op after dorsel hump open rhinoplasty. The tip is droopy. Not elevated. I hate it! My nose is longer at 7cm too ! Please, will it improve in time? I'm so depressed.
Hi. In general, if someone has a hump only rhinoplasty and that hump was the reason their tip was not droopy in the first place, then removing the hump removes the lift on the tip and the tip drops. Preoperatively, this is known as a “tension tip”. If it doesn’t improve, it is relatively easy to rotate the tip back up and shorten the nose in the office under local anesthesia.
Hi I had a Rhinoplasty 2 years ago and I’m somewhat happy but I feel that it’s still swollen. When I got my cast removed they said I was one of the most swollen pts they’ve had. I looked like shrek. It’s gone down but I feel that it’s still swelling especially at the tip and causes my nostrils to look a little uneven. Do you think I should get kenalog shots?
Taping might help, but only in concert with steroids. I don’t recommend steroid injections at this point. What I would consider trying is micro needling of the nasal tip skin no deeper than 1mm followed by the spreading of liquid Kenalog (steroid) onto the treatment zone. The little micro needling holes allow for gentle, even distribution of the steroid without the risk.
Hello Dr Shah,
I am 20 days post-op. I have more swelling in the tip of my nose internally which is producing a bit of discomfort/ stiffness on one side. One nostril seems bigger than the other. I don't know if this is due to my doctor bringing my nostrils closer into my face. Moreover, my nose has been getting more movement, thus, I have been feeling a few dashing feelings/ tingling around my face (upper lip, cheeks) is this normal?
Thank you,
All this is normal. There is normal asymmetric swelling after rhinoplasty. The nerves are waking up and creating those feelings.
@@ManishHShahMDFACSDenver Thank you very much for your response!
@sophia saroukian how is your nose looking? I’m going thru the same issue
Hey doctor
Its about a month i did nose job.
The thing is my tip is still swelling and when i touch of my tip i feel something in front of my teeth like connection?!
That is normal healing. You have 11 months to heal completely.