Skip to main content
En Español
Pasadena Cosmetic Surgery

Common Problems After Rhinoplasty

Posted July 01, 2025 in Rhinoplasty

  • twitter
  • facebook
  • instagram
  • rss

Profile of a young woman

Whether you’re seeking a more balanced facial appearance or correcting a breathing issue, rhinoplasty, often referred to as a “nose job,” can make a dramatic improvement in both function and aesthetics. But as exciting as the results can be, the road to healing isn’t always straightforward. In this blog, we’ll go over some of the most common problems that can occur after rhinoplasty, what they mean, and how they can be addressed, so you can rest a little easier as you embark on your journey to a gorgeous profile.

4 Min Read:

Table of Contents

Common Rhinoplasty Side Effects

Many people go into rhinoplasty surgery expecting swelling and some discomfort, but they often don’t realize how common other post-operative concerns can be. While most of these issues, such as lumps inside the nose, bumps on the bridge, or prolonged bruising, are normal and temporary, it’s important to know what’s worth monitoring and when to consult your surgeon.

Lumps Inside Your Nose After Rhinoplasty

Feeling lumps or irregularities inside your nose after surgery can be alarming, but in most cases, these are simply part of the natural healing process. After rhinoplasty, your body is healing via internal swelling and the formation of scar tissue. As the delicate tissues inside your nose heal, they may feel firm or lumpy to the touch, especially along the nasal septum or in areas where cartilage was manipulated.

In many cases, these internal lumps resolve over time as the swelling decreases and tissues settle. However, if the lump interferes with your breathing or causes discomfort months after surgery, you should bring it up with your surgeon to ensure everything is proceeding as expected.

Bumps on Your Nose After Rhinoplasty

Visible bumps on the bridge or tip of your nose after surgery are another common concern. Sometimes, these are simply due to swelling that hasn’t fully resolved, especially if the skin on your nose is thick or oily. In other cases, a bump may form due to irregular healing of bone or cartilage that wasn’t fully reshaped during the original surgery.

Temporary bumps from swelling usually go away within a few weeks to months as the inflammation naturally dissipates. Persistent bumps due to bone or cartilage may need minor revision or smoothing out, especially if they affect the overall shape of your nose.

In both cases, it’s essential to give your nose time to heal completely. Keep in mind that your final results often take up to a year or more to fully reveal themselves, so you have to wait until then to determine if the bump needs to be addressed.

Cartilage Graft Issues After Rhinoplasty

Cartilage grafts are often used during rhinoplasty to provide structural support or enhance the shape of your nose. These grafts can come from your septum, ear, or ribs and generally integrate seamlessly into your new nasal contour. However, complications can occasionally arise.

Common cartilage graft issues include:

  • Graft shifting: The graft may move slightly out of place during healing, resulting in asymmetry or irregularity.
  • Warping: Some types of cartilage, particularly rib cartilage, can bend or curve over time.
  • Visibility or palpability: If the graft is placed close to the surface, you may be able to see it (visibility) or it may feel like a hard ridge under your skin (palpability).

Choosing a skilled and experienced surgeon and diligently following post-operative care instructions can help minimize these risks. If cartilage graft issues occur, revision surgery can usually correct them effectively.

Internal Scarring After Rhinoplasty

Internal scarring, also known as intranasal adhesions, can form when raw surfaces inside your nose stick together during healing. These adhesions can partially block airflow, causing nasal congestion or breathing difficulties.

Symptoms of internal scarring may include:

  • Trouble breathing through one or both nostrils
  • A feeling of blockage that doesn’t go away with nasal sprays
  • Whistling sounds while breathing

In many cases, these adhesions can be treated in-office with minor procedures to break up the scar tissue. If the adhesions are more extensive, a short revision surgery may be needed to restore proper nasal function.

Preventive measures during the recovery process—such as using saline sprays, attending follow-up appointments, and avoiding blowing your nose—can help minimize the risk of internal scarring.

External Scarring, Swelling, or Bruising After Rhinoplasty

Scarring

There are two types of rhinoplasty: closed rhinoplasty and open rhinoplasty. In closed rhinoplasty, the incisions are hidden inside your nose, while open rhinoplasty requires a small incision across the columella at the bottom of your nose. Open rhinoplasty may leave a visible scar, though it’s typically minimal and fades over time. If external scars become raised, discolored, or wide, there are various scar treatment options to help improve their appearance.

Swelling

Swelling is one of the most common concerns after rhinoplasty. It tends to be most pronounced in the first few weeks, slowly diminishing over time. However, it can take up to a year for all swelling to dissipate. The nasal tip is particularly stubborn when it comes to swelling, often taking longer to return to its final shape.

Bruising

Bruising, especially around the eyes, is common during the first couple of weeks after surgery. Keeping your head elevated, using cold compresses, and avoiding blood-thinning medications can all help reduce bruising and swelling.

Revision Rhinoplasty: When Is it Necessary?

Most rhinoplasty patients are thrilled with their results, but occasionally, the outcome may not meet their expectations. Revision rhinoplasty may be necessary if:

  • Functional problems like difficulty breathing continue to be an issue
  • There are visible deformities or asymmetries after you’re fully healed
  • Scar tissue altered the shape of your nose, affecting your results
  • Grafts or implants shifted over time

Because healing continues for many months after surgery, you must wait at least 12–18 months before considering revision rhinoplasty. This ensures your tissues are fully healed and the final shape is evident.

Why Choose Dr. Martin O’Toole and Dr. Adam O’Toole at Pasadena Cosmetic Surgery for Rhinoplasty Surgery?

If you’re considering rhinoplasty or dealing with unexpected issues after a previous rhinoplasty surgery, choosing the right surgeon is crucial. At Pasadena Cosmetic Surgery, board-certified surgeons Dr. Martin O’Toole and Dr. Adam O’Toole combine decades of surgical expertise with a passion for patient-centered care.

Both surgeons are highly experienced in cosmetic and functional nasal surgery, including complex revision cases. Their artistic precision and technical skill work together to ensure your results are gorgeous and natural-looking. Drs. O’Toole understand that no two noses (or faces) are the same, which is why they customize each treatment plan to address your unique anatomy, concerns, and desired results.

From your complimentary consultation to long after surgery, the team at Pasadena Cosmetic Surgery is with you every step of the way, ensuring a smooth recovery and outstanding outcome.

Explore Rhinoplasty Surgery in Pasadena

Whether you’re looking to enhance your profile, correct a previous rhinoplasty surgery, or simply breathe easier, Dr. Martin O’Toole and Dr. Adam O’Toole offer the compassionate care, meticulous surgical approach, and extensive expertise you need to feel confident in the process. To schedule an appointment to learn if rhinoplasty is right for you, call Pasadena Cosmetic Surgery today at (626) 449-8910 or complete our online contact form.