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He should consult a doctor for a thorough evaluation and to determine the best course of treatment. Treatment can be done through medication or surgery.

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Experiencing some residual swelling at the tip of the nose one year after rhinoplasty can be normal in certain cases. While the majority of swelling typically subsides within the first few months following the procedure, it's not uncommon for minor swelling to persist, particularly in the tip area, for a longer period of time.

Several factors can contribute to the persistence of swelling at the tip of the nose after one year such as Skin thickness, Surgical technique used, etc. If you're experiencing persistent swelling at the tip of your nose one year after rhinoplasty, it's recommended to consult with your surgeon for an evaluation. They will be able to assess your condition, determine the cause of the swelling, and provide appropriate guidance. In the meantime, here are a few things you can consider:

1. Follow-up appointment: Schedule a follow-up appointment with your surgeon to discuss your concerns and have a thorough examination. They will be able to determine if the swelling is a normal part of the healing process or if it requires further intervention.
2. Be patient: Swelling after rhinoplasty can take a significant amount of time to completely resolve. It's not uncommon for residual swelling to persist for up to a year or even longer in some cases. Allow your body ample time to heal, as the final results of rhinoplasty can take several months to become fully apparent.
3. Avoid trauma: Take care to protect your nose from any trauma or injury during the healing process. Even minor accidents can cause additional swelling or affect the final outcome of your rhinoplasty.
4. Follow post-operative instructions: Ensure that you are following all post-operative instructions provided by your surgeon. This may include specific care for managing swelling, such as avoiding strenuous activities, refraining from excessive sun exposure, and avoiding certain medications that can increase swelling.
5. Massage: Your surgeon may recommend gentle massage techniques to help reduce swelling at the tip of the nose. However, it's crucial to follow their specific instructions, as improper techniques or excessive force can have adverse effects.
6. Consider corticosteroid injections: In some cases, your surgeon may recommend corticosteroid injections to help reduce persistent swelling. These injections can help reduce inflammation and promote healing.

Remember, the advice provided here is general, and it's important to consult with your surgeon for personalized guidance based on your unique situation.