What Will Happen After a Rhinoplasty?

The post-operative period can be divided into three main sectors:

  • The immediate post-operative period covers the first two weeks, approximately.
  • The short-term post-operative: in my opinion, it would cover the following weeks until the 3rd - 4th month.
  • The post-operative period to late: it covers from the 3rd - 4th month until at least the first year, and in some cases, it can extend up to two years.

Immediate post-operative. Once the surgery is complete, you will first go through a recovery room before being taken back to your room. Hospital discharge may take place that same afternoon or the following morning, basically depending on the complexity of the rhinoplasty, the type of tamponade, etc. In any case, before discharge, your report will be delivered to you, and you will be reminded of the most important instructions and home care. It is recommended that you rest relatively (you can move freely without exerting effort) for the next 48 hours after discharge from the hospital.

You will have been given three or four prescriptions for a pain reliever, an anti-inflammatory, and a stomach protector. We usually only recommend an antibiotic in the event that rib grafts have been performed. The painkillers that are recommended will control the discomfort that may arise; they are usually mild and last about forty-eight hours. During the following 24 hours after the operation, it is recommended to be at rest to better control the discomfort and avoid annoying bleeding as well as applying cold to the eyelids. You will notice the appearance of bruising and inflammation around the eyes. This is normal and may increase in the following days; you should not be alarmed. From the forty-eight hours, these phenomena usually improve gradually until disappearing in about seven to ten days.

Removal of plugs and splint after rhinoplasty

The nose plugs are removed after a variable time that will depend, fundamentally, on the type of rhinoplasty that has been performed. Using ear swabs dipped in hydrogen peroxide will help prevent scabs from building up in your nostrils and clean your columella wound. Using saline or seawater to clean the nostrils will prevent clogging of mucus or blood that prevents breathing. Never blow your nose to perform or complement hygiene, as this could cause complications.

The plaster is removed after seven or eight days, later plaster strips or other splinting will be used if the case requires it. In most cases, the patient can perform sedentary work after 48 hours but should avoid any type of effort or sudden movement. You should not wear glasses, do sports exercises, or blow your nose in about a month; these measurements are very important. You should avoid the sun or UVA rays for a minimum period of three months and use the appropriate sunscreens that you can get at any pharmacy.

Rhinoplasty: Post-Operative Care For Recovery

The rhinoplasty or nose surgery is one that can change its shape and size to suit the most harmonious proportions of each patient and/or structures to breathe better.

Recovery after rhinoplasty (nose surgery)

The best thing about this surgery is its immediate results, although it is not until the year when we can see the definitive results. In rhinoplasty surgery, post-operative care takes on special importance, since the nose requires special support for the tissues to heal in the new position.

That is why we want to bring you these tips that will help you recover in the best possible way from a rhinoplasty.

The care of rhinoplasty surgery is not only limited to the post, and it is very important to follow the medical indications before performing any operation.

Strictly follow medical prescriptions.

The medical indications will help you to recover faster, as well as to obtain the desired results. It is very important not to try to “loosen the plaster” and wear the straps for as long as the surgeon indicates. Of course, strictly following antibiotic prophylaxis is essential.

No Smoking

In a rhinoplasty and in any other surgery, not smoking in the perioperative period of the surgery is very important because tobacco hinders healing.

Diet

The feeling of nausea is common during the first 24 hours due to anesthesia, and to avoid these discomforts, a liquid diet is recommended.

Repose

The first 24 hours should be done with absolute rest, and after this period, it is recommended 15 days of moderate rest, avoid exercising, have sexual relations, etc.

Hygiene

You can shower regularly, but after surgery, the nose area will be dry, it is ideal to use seawater to hydrate the nostrils and reduce the discomfort of the wounds.

Don’t blow your nose

You will have a feeling of nasal congestion the first few days, but it is not advisable to blow your nose to avoid possible bleeding

Sleep on your back

The first days there is sleeping in the supine position (face up), avoid postures like sleeping on your side.

Avoid sunbathing

During the first months after rhinoplasty, avoid extreme weather conditions such as wind or cold.

To carry out a good recovery from any surgery, it is essential to be informed and to be patient and constant with the medical indications by the plastic surgeon or the medical team. And when in doubt of any question, ask, and if it has not been clear to you, ask again.

Recommendations, Care And Symptoms Before A Rhinoplasty

Are you going to have a rhinoplasty and are you scared to death? You don’t know how to prepare for your intervention. You just had surgery, and you don’t know what is normal and what is not after your rhinoplasty.

Preoperative

  • Hair collected: go to the intervention with the hair as collected as possible. If possible and you usually do it, shave your nostrils at least a week before surgery. Otherwise, cut the hairs from the nostrils with scissors as best as possible the day before surgery.
  • Men: Don’t forget to shave a mustache and beard as hairs can contain germs that are difficult to kill.

Post-Operative

Gauze under the nose:

  • You may wear a gauze pad under your nose, fitted with a tape to make post-operative natural nasal discharge more comfortable. You should change it when you need it. It is very simple, and it will not be beyond the day that the caps are removed.

Bruising:

  • In the immediate post-operative period, you may have bruises on the eyelids, especially the day after the operation. For hematomas, we recommend applying Angiogel® ointment 4 to 6 applications daily, removing the residue with a wet compress before the next application.

Fever:

  • Do not be alarmed if, on the same day or the day after surgery, you have a moderate fever (below 38 ° C). All surgical intervention involves stress and physical aggression that can provoke it and has no clinical significance, giving way spontaneously in a couple of days. Call your doctor if it exceeds 38 °.

Nasal plugs:

  • In the first post-operative appointment 24-48 hours after surgery, the anatomical sponge-permeable tamponades will surely be removed without any discomfort. Until then, try to keep them perfectly clean if you have external stitches without clots. For this, you can use cotton swabs dipped in sterile saline or boiled water. Then touch with iodine or hydrogen peroxide is recommended.

Protector of the nasal back:

  • It is that kind of cover or plaster that protects your nose after surgery. We remove it between 5 and 7 days after surgery. After its removal, it is recommended that you use it to sleep for 2-3 weeks (in case you turn around and give yourself a little tap or you self-press inadvertently on your face).

Skincare:

  • It is normal that when you remove the splint (the back of the nose) and the plaster from the skin of the nose, you notice that it is more sensitive, dry, even flaking for a longer time. You can apply a quality moisturizer 3 or 4 times a day.

Solar protection:

  • The nasal area, after the intervention, alters its sensitivity to external agents such as the sun, which can cause sunburns. Apply full-screen sunscreen whenever you go outside.