After Care Advice for Rhinoplasty?

Any advice for Rhinoplasty after care to reduce scar tissue build up?

Doctor Answers (9)

Sun and rhino

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In general, your nose has less natural protection from the sun right after rhinoplasty. All the tissue was just elevated off of the internal structure of the nose, including the bone and cartilage, and blood vessels were coagulated in order to do this. There fore we weakened the nose's natural defense since we weakened its blood supply. This blood supply grows back , but it can take quite a bit of time to happen. In the first 6 weeks, your nose is less naturally resistant to UV rays and is more likely to burn and get discolored. Also, since your nose is mostly numb early on, its less likely that you are to notice the problem until its too late. I recommend you stay out of the sun as much as possible in the first 6 weeks after surgery. If you are in the sun for short periods of time, stay in the shade, and wear a big hat and a good sunblock. Do not wear sun glasses in the first 6 weeks, or any glasses for that matter, if osteotomies were performed, (breaking of the nasal bones). You can get your nose wet as soon as the splint comes off, but I would be careful about chlorinated pools early on until the incision is fully healed an more mature, as the chlorine can irritate the incision. The gym and anything that increases you blood pressure will increase the swelling of your nose and delay your healing time. I recommend 6 weeks for this as well. Sometimes it can take longer for your skin to mature, even a year and more in some cases. I suggest that you wear sun block for at least a year every day while out in the sun.
Best Wishes,
Pablo Prichard, MD


Phoenix Plastic Surgeon
5.0 out of 5 stars 28 reviews

Rhinoplasty after care

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Once your nasal splint has been removed (usually 5-7) days, there is not much after care. For the first three weeks the bones are not completely stabilized and you should avoid any contact sport. After that you can resume your sports and activities. You will notice some redness and swelling after rhinoplasty especially after exercise or exposure to sun or consuming too much salt. You can also get acne breakouts on the nose. All these are temporary and resolve on their own. If it is taking too long, then you can use certain acne medications for quick relief. The healing process of the nose can go on for one whole year. Fortuantely, after the first month you really don't have to do much except protect it from sun exposure.

Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Rhinoplasty aftercare is simple

+1

Care after nasal shaping can be very simple for patients and control of swelling is the best assurance of an early and smooth recovery. After the procedure the taping and splinting applied are there largely to control the swelling and to provide a stable platform for healing as the nose is reshaped. The day after rhinplasty it is helpful to apply ice over the bridge of the nose, keep your head elevated, and avoid any bending or straining. The swelling will reach a peak at three days and then subside over the next three days at which time we remove the splint, about one week. The nose will be stiff, though the result will be off to a good start in the healing process. At this point there is little risk of scar buildup.

After the first week patients can sleep flat and we add saline spray to keep the nose moist and comfortable. Sunscreen during healing is a must. We have not found massage very helpful though some patients feel that it does relieve some the stiffness as healing progresses.

Best of luck,

peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 29 reviews

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Rhinoplasty post-op care

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Early post- op care after rhinoplasty includes cold compresses or ice( frozen peas) on the face fir the first 24 hours.   Head elevation is important to minimize swelling.  A dressing under the nostrils to catch fluid also is helpful.  Minimize excessive exertion for the first few weeks.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Ice for the first 24 hours.

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 Ice will decrease the amount of swelling and potential scar build up. Don't get the nose sunburned or traumatized. There is nothing else to do unless you want to waste money on marketed products with no evidence to support their claims.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Follow the advice of your doctor after rhinoplasty

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Your Doctor should have an after care packet for you to follow. Make sure to read all of the material and ask questions. Also you should do your own research to learn more on the internet.

Your doctor can only supply you with a limited amount of information and everybody's fund of knowledge is different and some may need more supplementation than others. In general, the less trauma the less scarring and the less inflammation the less scarring as well.

  • You should elevate your head from the horizontal by at least 45 degrees.
  • Cooling helps too and you should use cold compresses for 15 minutes every hour for at least the first 3 days.
  • You should avoid hot temperature things like hot liquids, hot showers etc to keep the oozing down to a minimum.
  • Avoiding blood thinners w weeks before and after surgery is essential to avoid oozing during and after your procedure.
  • Having your surgeon use the best technique is vital to a great result, and his skill will determine the amount of scarring that will take place.
  • Along your incisions you should always have the them covered with vaseline, and I would avoid antibacterial ointment to avoid contact dermatitis that is very common after surgery.
  • Hydrogen peroxide can be used judiciously and with the guidance of your physician but when used without careful regard this agent can increase scarring. Keeping the crusting to a minimum will decrease the bacterial load and lead to less scarring.
  • After the first 2 weeks, you can then use a silicone based scar gel to cover the incision for the next three months.
  • External incisions are what you should use your silicone gel for and not the internal incisions inside your nostril.
  • Minor scar treatments can lead to the best result; a resurfacing 4-8 weeks after your procedure can help!

Philip Young, MD
Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 37 reviews

Your surgeon is the source of surgical after-care.

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Judging by your two questions, you're concerned about scar-tissue after your rhinoplasty.

The best advice I can give you is to keep regular follow-ups with your surgeon. If there is unusual swelling or "scar-tissue" developing, triamcinolone (steroid) injections may be of benefit.

Best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 278 reviews

After care for rhinoplasty suggestions

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I just asnwered a question about massage after rhinoplasty and realself prefers that we not repeat ourselves so please refer to this answer.

Avoiding excessive swelling is important (ice, elevation, nose compresion with splint, rest with limited strenuous exercise are useful).

Manual lymphatic drainage is one controversial option.

Cessation of tobacco use or second hand smoke for a minimum of 2 weeks (and sometimes 6) before and after is advised by many.

Minimize sun exposure the week before and for 3-4 months after.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Follow the advice of your doctor!

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You are asking repetitive questions about after care and scar issues. If you have already had surgery, hopefully you trust your doctor enough to listen strictly to their advice. If you have not decided on a doctor yet, when you finally do decide, please listen to their advice. This forum is not appropriately used as a place to change what your doctor has told you.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.