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One Week Recovery Enough After Nose Job?

Is one week enough time to take off from work after a Rhinoplasty? I am a teacher, and I'm wondering if winter break would be a good time?

Doctor Answers (15)

Rhinoplasty recovery

+2

One weeks recovery period is sufficient for you to feel good enough to go back to work. However, given the fact that you are a teacher, you may want to wait a few more days for any discoloration and significant swelling to subside before you have to confront a classroom filled with the toughest of all critics. I suggest taping the nose for a few days after the splint has been removed. If you had your surgery on a Friday you would likely be in pretty good shape on the Monday 10 days following your surgery.


Chevy Chase Facial Plastic Surgeon
4.0 out of 5 stars 5 reviews

Rhinoplasty during summer vacation recommended for school teachers.

+1

After about one week, the splint is removed. Much of the swelling and discoloration will have disappeared by that time but the duration of these factors varies. The early results of this surgery are evident in two to three weeks and are usually quite gratifying. However, you will continue to notice an improvement in the contour and form of your nose for six to twelve months as the last remnants of the swelling disappear.
 

You will probably have a little discoloration and swelling after one week, if you are not ok with this, summer break is recommended for a full recovery.

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

Possible residual bruising and swelling 1 week after rhinoplasty

+1

One week is an acceptable period of time to take off from work after a rhinoplasty, as long as your job is not physically demanding (heavy lifting, exercising, raising heart rate, blood pressure, etc…). There still may be some residual bruising and swelling underneath the eyes at seven to ten days after the rhinoplasty, but this can be covered with makeup.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 56 reviews

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Healing after Rhinoplasty

+1

Your nose will not be healed at one week, but swelling and bruising will be relatively inconspicuous. After one week I would still be concerned about nasal trauma, but hopefully that is not a risk as a teacher.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Rhinoplasty Recovery: Information To Make You More Prepared

+1

Here are is some general information about rhinoplasty recovery. Each patient is unique and so is their rhinoplasty... so every patient's recovery is a little bit different.

SWELLING
The nose undergoes significant changes in the first 2 to 12 weeks following rhinoplasty. The swelling gradually dissipates over the first several months and thus the appearance of the nose changes gradually.

  • When the cast is removed after one week, the nose will look swollen.
  • Usually by the end of the second week, the swelling and bruising have subsided enough that the casual observer will not readily notice that the nose has been operated on.
  • To the patient, the nose will look swollen or "puffy" for several months.
  • By about 3-4 months, the majority of the swelling will be gone but will look larger in photographs.
  • It can take as long as a year for the final shape to become apparent.
  • You should give yourself several months if if there are any work or social engagements that would cause concern.

Swelling can persist during this time, particularly in the tip and over the area where a boney hump was removed. Following a hump removal during a rhinoplasty, it is very common for there to be excessive swelling over the central portion of the nasal bridge overlying the area where the boney hump was removed. This area often appears more swollen that the rest of the bridge and can remain swollen for several months. As a result, patients frequently worry that the bump will be permanent.
Taping the bridge of the nose and the supratip area (area above the tip) can significantly reduce postoperative edema (swelling). Gentle pressure from the tape does two things. First, it can help 'press' out some of the swelling that results from trapped fluid in the tissues. Secondly, and perhaps more importantly, pressure on the tissues causes the collagen fibers in scar tissue to become more organized, which reduces the volume of the swollen area.The most effective for taping is in the first six months after surgery. You should still get a benefit even if you havent started taping until 2 months after surgery.

It is very common for rhinoplasty patients to report (in the first several weeks after surgery) that their upper lip feels stiff and that it is difficult for them to smile. Fortunately, this resolves by itself in the first several weeks after surgery as the swelling subsides. Be patient, your smile should return to normal.

BRUISING
Bruising and swelling are a normal part of rhinoplasty recovery. They are dependent on several factors related to both the surgical technique and the patient. Techniques that increase bruising and swelling include whether or not the nasal bones were broken (osteotomies), the extent of soft tissue dissection/elevation from the bony-cartilaginous framework, and whether the surgery was performed open or closed. Patient factors include age, skin thickness, nutrition, bleeding tendencies/disorders, and medications that thin the blood.

Obviously, not many of these variables are within the control of the patient; however the extent of the bruising and the severity of swelling can be minimized by following these tips:

  • Avoid any medications that thin the blood for a minimum of 2 weeks before surgery and do not resume them until your physician directs you to. These medications include (but are not limited to): aspirin, ibuprofen, anti-inflammatories, heparin, lovenox, coumadin, plavix.
  • Avoid multivitamins/herbal remedies/teas etc that contain high levels of Vitamin E, Ginseng, Ginko -- these can cause you to bleed more freely.
  • If you have a tendency to bleed or bruise easily, have a history of a bleeding disorder, or have a family member with a bleeding disorder, you should discuss this with your physician before surgery.
  • Ice packs to applied to the cheeks for the first 48 hours
  • Keep you head elevated higher than your heart. This will help minimize the amount of edema (swelling).
  • Avoid smoking
  • Herbal supplements such as bromelin, papaya extract, and arnica may be of benefit, but few studies have proven their effectiveness.
  • Sun exposure in the first several months following rhinoplasty can cause the skin of the nose to become red or "splotchy". It can also predispose you to getting sunburned more easily. For the first several months after rhinoplasty, patients should wear sunscreen and/or a hat to prevent the above mentioned problems.

CAST / SPLINT / PACKING
Surgeons frequently place an external splint on the exterior of the nose after surgery. The cast can help preserve the operative result and also can aid in reducing swelling. Most surgeons leave the cast in place for one week.

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 91 reviews

Bruising after Rhinoplasty can take two weeks to resolve although make up will cover after a week

+1

You will feel fairly well and be able to work a week after

Rhinoplasty

, if all goes well. However bruising and swelling can take 2-3 weeks to resolve. Typically after a week make up can cover the bruising.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
4.5 out of 5 stars 30 reviews

Recovery after rhinoplasty

+1

After one week, it would be fine to be back teaching though you will still have some swelling and might have some bruising especially if the bones need to be fractured to narrow the upper third.  Don't exercise for 2-3 weeks though. 

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

Bruising goes from purple to green to yellow...

+1

Recovery after rhinoplasty to be in public is usually one week. Approximately 85% of the swelling is gone at this time. However, your bruising may still be visible. Bruising goes through a red-purple phase, then a green phase into a yellow phase. The process usually takes 7 to 10 days. Cover up make up usually suffices to ward off any stares.

Ricardo Izquierdo, MD
Oak Brook Plastic Surgeon
3.5 out of 5 stars 6 reviews

One week off after rhinoplasty is just enough

+1

For the first three days after nasal shaping the nose will swell and it is the nasal swelling that the taping and splinting helps to control. The swelling will resolve just as quickly over the next three days and it is at this time, six days after surgery, that we remove the splint and tapes from the nose. At just one week, the nose should look quite good and our patients often go back to work and are out and about. Bruising can happen in about one third of patients and it can be hard to predict who will be affected. It is best to plan on some bruising and deal with it with a concealer or a short story of your choosing. True, your nose will still feel stuffy for several weeks and the 'final' result is not apparent for several months, however you should look good at a week, and feel good as well.

Best of luck,

peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 28 reviews

Rhinoplasty recovery

+1

I usually tell patients that they will need about 2 weeks off.  If I do bony work, they will stay bruised for about 2 weeks. Yes, after about a week I suppose you can wear camouflage make-up, but that is not ideal. 

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