What Causes Excessive Bleeding During a Septoplasty?

How long does the bleeding occur after septoplasty?

Doctor Answers (4)

Bleeding after a septoplasty procedure

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Intermittent bleeding after a septoplasty or septorhinoplasty is not uncommon and can last up to a week to ten days. If it gets heavy, you may wish to call your surgeon to discuss the matter with them to make sure that there are no other issues going on. Sometimes aspirin usage and motrin can contribute to the problem as well.


Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

How long does the bleeding occur after septoplasty?

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Bleeding can and does occur after any Rhinoplasty and/or Septoplasty but should be mild and intermittent.  If at any time after either procedure, other than the postop night or following day, you have profuse bleeding this may indicate a rupture of a blood vessel inside the nose and is a reason for you to contact your Rhinoplasty surgeon immediately.  If, on the other hand there is slight pink or spotting there is no urgency, IMO, but still a need to have your surgeon examine the inside of the nose in order to identify and potentially treat the source of the bleeding.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Bleeding During Septoplasty

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The nose, and specifically the nasal septum, has a very healthy blood supply.  Bleeding is generally minimized with the use of vasoconstrictive agents and injection with local anesthetic mixed with epinephrine.  Despite these measures, some degree of bleeding is always encountered, but generally controlled by the end of the case.  Sometimes, sutures and even packing material are used to assist in hemostasis.  Factors that will increase the amount of blood loss include an elevated blood pressure and/ or failure to stop medications that promote bleeding (NSAIDS, coumadin, vitamin E etc.)

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 38 reviews

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How long does the bleeding occur after septoplasty?

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A Septoplasty should NOT be followed by continuous bleeding. While there may be some bleeding associated with the performance of the operation all bleeding should have been stopped before the case was finished and you left the operating room. Most surgeons stitch the lining of the septum with quilting stitches to apply gentle pressure and promote adherence of the linings and some use nasal packing to further add to the closing of the septal space. If you coughed, sneezed, vomited or strained and began having active bleeding you should go to your surgeon or the ER he directs you to to be evaluated.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 63 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.