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Instructions After Rhinoplasty

Instructions

  • Have someone drive you home after surgery and help you at home for 1-2 days.
  • Get plenty of rest.
  • Follow balanced diet.
  • Decreased activity may promote constipation, so you may want to add more raw fruit to your diet, and be sure to increase fluid intake.
  • Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.
  • Do not drink alcohol when taking pain medications.
  • Even when not taking pain medications, no alcohol for 3 weeks as it causes fluid retention.
  • If you are taking vitamins with iron, resume these as tolerated.
  • Do not smoke, as smoking delays healing and increases the risk of complications.

Activities

  • Start walking as soon as possible, this helps to reduce swelling and lowers the chance of blood clots.
  • Do not drive until you are no longer taking any pain medications (narcotics).
  • Return to work in 1-2 weeks.
  • Avoid strenuous activities or any activity that increases your blood pressure for 2-3 weeks.
  • Avoid body contact sports, hitting or rubbing your nose, and sunburn for 2 months.

Incision Care

  • Avoid exposing scars to sun for at least 12 months.
  • Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or greater).
  • Keep steri-strips on.
  • Keep incisions clean and inspect daily for signs of infection.
  • Stay in bed with your head elevated (except for going to the bathroom) for the first day.
  • Cold compresses will reduce swelling.
  • Do not shampoo your hair until nose splint is removed, or ask for special instructions.
  • Avoid blowing your nose for 1 week.
  • Be gentle when washing your face and hair or using cosmetics.
  • Do not use facial makeup on external incisions until advised by surgeon.
  • Contact lenses can be worn as soon as you feel like it, but glasses cannot be worn until your nose is completely healed (approximately 2 months). After your nose splint is removed, tape your glasses to your forehead or prop them on your cheeks until completely healed.

What To Expect

  • You may be up and about in 2 days, but it will be several weeks before you are entirely up to speed.
  • Feeling depressed is normal.
  • After surgery, particularly during the first 24 hours, your face will feel puffy.
  • A small amount of bleeding is common during the first few days.
  • A splint is applied immediately after surgery for 7 days. Nasal packs may also be used.
  • Minimal postoperative pain.
  • Your nose may ache and you may have a dull headache.
  • Temporary swelling and bruising around eyes and nose will increase at first and peak after 2 or 3 days. Most swelling and bruising should disappear within 2 weeks. Some subtle swelling (noticeable only to you) will remain for several months.
  • Healing is a slow and gradual process.
  • Some numbness may be present around the operative areas.
  • Black eyes and swollen nose and eyelids for 7-14 days.
  • You may experience some discomfort with breathing.
  • Swollen nasal tissues may cause nose to seem "stuffed up" for several weeks.

Appearance

  • New nose looks better in 2-3 weeks and usually continues to improve for many months.
  • Nasal tip drops to its permanent position in 3-6 months.
  • Final results may not be apparent for a year or more.

Follow-Up Care

  • If you have nasal packing, it will be removed after a few days.
  • If nostrils are narrowed, sutures are removed in 3 days. All other sutures either dissolve or are removed within 14 days.
  • Frequent follow-up visits should be scheduled.
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