It’s not unusual for patients undergoing rhinoplasty to have prolonged swelling. Several factors, including the use of open rhinoplasty, fracture of the nasal bones, thickness of the nasal skin, and a previous rhinoplasty have been associated with prolonged swelling.
Most patients will note significant swelling for about two weeks following surgery. After two weeks, most patients are comfortable resuming their normal lives and going out in public.
Swelling will persist in most patients for at least one year following surgery, with the nasal tip being the last site to experience resolution. In the immediate post-operative period, nasal splints, elevation of the head and ice can be used to minimize swelling.