Ask a doctor

What Care Should Be Taken After Rhinoplasty?

I wanted to ask is, what all precautions to be taken after rhinoplasty, like at the time of washing our face we put a lot of pressure on our face as a whole so is it better to avoid?, and also after rhinoplasty is it ok to hit the gym?

Doctor Answers (8)

Common sense after rhinoplasty dictates everything.

+2

Dear kkdon;

After rhinoplasty, people are wisely cautious with respect to putting any undue pressure on the nose.  I do not recommend facials for several months.  Obviously, contact sports for at least 6-8 weeks after nose job surgery are not a good idea.  For the first 10 days after rhinoplasty surgery, high-intensity exercise is not good because the blood pressure goes up and increases the chance of a nosebleed or an increase in swelling and bruising.

It is really all about employing common sense.  Face washing does not have to be done vigorously.  Your nose tells you how gentle you need to be by the amount of sensitivity you feel as you wash the skin of the nose.

Do not forget smoking is a no-no.  Keep your nose well humidified after surgery using saline nasal sprays because the nose tends to be dry.  Do not blow your nose for the first 10 days because that is likely to kick off a nosebleed.

Most likely, your rhinoplasty doctor will give you a list of what you can and cannot do during the short-term and long-term recovery process.

Good luck.

Robert Kotler, MD, FACS
Facial Plastic Surgeon
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Author, THE ESSENTIAL COSMETIC SURGERY COMPANION


Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Rhinoplasty Aftercare?

+2

 Thank you for the question.

The specific instructions you will receive from your surgeon will depend on the exact procedure which is performed. Also, every surgeon has a routine/protocol that he/she follows.  Probably best not to confuse instructions too much from online consultants.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 781 reviews

What Care Should Be Taken After Rhinoplasty?

+2

Each rhinoplasty surgeon has their own set of post operative instructions/protocols. Contact your chosen surgeon. In my practice I have a list of 15 items. Most important is rest no physical activities for 3 weeks at least. Others as as other experts stated. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

You might also like...

Postoperative care for rhinoplasty

+2

For my patients, they wear a nasal splint for about a week and it is then removed along with skin stitches if I have performed an open rhino.  I have them limit their exertion acitivities.  No contact sports for about 6-8 weeks.  No blowing the nose for 3 weeks.  Only using nasal mist spray or gentle q-tip cleaning after showering from week 1-3.  No glasses leaning on the nose for 3-6 weeks.

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

Postoperative care for Rhinoplasty

+2

Postoperative instructions vary depending on what was specifically performed during your rhinoplasty, but typically you will have some or all of the following: 

After rhinoplasty you will likely have an external splint on your nose for a week. You won't wash it during this time. Afterwards, you will need to carefully wash your face and nose, NOT a lot of pressure. Particularly if you had osteotomies performed. 

You will want to avoid blowing your nose, picking your nose (seriously), or inserting anything in your nose for 6-8 weeks. 

Try to sleep on your back for the first several weeks, with a few extra pillows. 

Regarding exercise, if you think there's a chance you could injure your nose, or have it injured by equipment, other people, or by losing balance, you should avoid that activity. 

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon
5.0 out of 5 stars 20 reviews

Rhinoplasty after care

+1
1. Be Careful When Brushing Your Teeth
Brushing your teeth shifts your mouth in a way that causes both the upper lip and nose to move. Because of this, patients must be very careful when brushing their teeth during their  recovery. Avoid aggressive movements and be sure to slow down if you can feel your nose moving while brushing.

2. Stop Smoking, Drinking, and Taking Certain Medications
It's extremely important that patients avoid the use of both tobacco and alcohol before and after surgery since these substances inhibit the recovery process. You should not smoke or drink in the three weeks leading up to the nose job operation and for another three weeks afterward. Patients are also advised not to take vitamin E, any aspirin-based medications, and garlic or fish oil tablets for two weeks before surgery.

3. Avoid Strenuous Exercise
The body needs time to recover after surgery. Patients should do their best to relax while they heal. This involves avoiding any strenuous movement—including aggressive exercises—for at least six weeks. Sports that may lead to nose injury (like volleyball, baseball, or basketball) should be ceased for longer. Speak to your surgeon to find out when you can start playing sports again.

4. Do Not Swim
Swimming affects the nose and can interfere with the recovery process. Diving and other movements through the water will shift the nose's position before it's resilient enough to handle this. Exposure to chlorine can also lead to a stinging sensation. For all of these reasons it's recommended that patients avoid swimming for six weeks from the time of surgery.

5. Be Cautious When Changing Clothes
Putting on or taking off clothing items like t-shirts and pullover sweaters can bump or tug on the nose while its healing. Patients should wear buttoned shirts or zip-ups to prevent this.

6. Monitor Sun Exposure
The skin of the nose is very sensitive during recovery and should be protected with sunscreen. It's also a good idea to limit the amount of time you spend in direct sunlight while the nose heals. Excessive exposure to UV rays can lead to permanent skin discolouration.

7. Be Careful When Touching Your Nose
The nose becomes very sensitive after treatment. It swells for much longer than many other parts of the body (its healing process isn't fully complete for as long as a year) and should be treated extremely carefully. Common actions like nose blowing cannot be performed for at least two weeks.

8. Exercise Caution While Wearing Glasses
Since glasses put weight on the nose it's best to avoid wearing them while healing. If contact lenses aren't an option anyone who requires prescription glasses should use a nasal splint that is taped onto the nose before wearing them. This splint will help absorb the weight of the glasses and reduce the risk of permanent nasal bone damage.

9. Avoid Certain Foods
Chewing tough food causes the nose to move just as much as aggressive tooth brushing. Any meal that involves a lot of chewing should be avoided until the nose has had a chance to properly heal.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 70 reviews

Precautions after rhinoplasty

+1

Patients should wait at least a year prior to undergoing tip and hump removal.  It is probably just best to go ahead and get pregnant at this point and deal with revision rhinoplasty after your pregnancy has been completed.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Care after rhinoplasty

+1

There are a number of precautions after a rhinoplasty. Most importantly, you must discuss this with your surgeon. As I am not your surgeon, take my advice with a grain of salt. These are general guidelines for my patients: no exercise for at least 2 weeks, and ideally, 6 weeks (which most patients cannot do). This will decrease swelling after surgery. It is certainly okay to wash the face throughout the postoperative period, as long as the splint is kept dry. I would also avoid pressure on the nose. Again, you should seek the advice of your surgeon on these questions.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
5.0 out of 5 stars 44 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.