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Is It Okay to Clean Dried Blood Inside Nose a Day After Rhinoplasty?

I just had my rhinoplasty done yesterday and my doctor didn't put in any packing because he said that there was very minimal bleeding and it would make me more comfortable. So because of this, I had quite a bit of discharge and now that the bleeding has stopped, I have a lot of dried up blood inside my nostril. I've read that you can clean with hydrogen peroxide and water but I was wondering if the day after rhinoplasty is too soon to clean it? I don't want to injure anything in my nose...

Doctor Answers (17)

Cleaning up the day after rhinoplasty

+2

The first day after rhinoplasty can be a bit messy. We too rarely place nasal packing and rely on a 'drip' dressing until the nose settles down. Clean soaks under the nose are fine, though stay well on the outside. The risk is bleeding, or aggravating swelling which can alter your result. Rest for a few days, clean up on the outside. Dab drainage or use a drip dressing for a few more days, and saline sprays can be used after the first week.

Best of luck,

peterejohnsonmd


Chicago Plastic Surgeon
4.0 out of 5 stars 28 reviews

Cleaning the inside of the nose one day after a rhinoplasty

+1
It is best to follow your surgeons instructions first. It is acceptable to place saline on a Q-tip up inside the nose in the first few days after the procedure to help with crusts.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Is It Okay to Clean Dried Blood Inside Nose a Day After Rhinoplasty?

+1

You can clean the area and should follow your surgeon's advice on how he/she likes this to be done.  The most important issue to be very careful and gentle.  Best wishes.

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 4 reviews

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Cleaning the nose

+1

I don't want to interfere with our surgeon's usual regimen.  Everyone does it a bit differently. His/her post op instructions are probably pretty specific.  What we do is have you clean the inside of the nostrils with a 1/2 strength peroxide solution on a q-tip three times daily, followed by some saline spray and mupurocin ointment.  The q-tip goes gently and just barely inside the nostril  My nurse shows our patients how to do this on the first day after surgery.  Hope this helps. 

Stuart H. Bentkover, MD
Boston Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Cleaning nose

+1

Yes you can. I typically see all my patients on their first post op day to show them how to clean the dried blood from their nostrils. You want to get rid of the dry crusts which clog you up but not start new bleeding. Saline spray can help as well.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Cleaning the nose after rhinoplasty

+1

Yes. Patients should clean their nose after surgery. Use Q-tips and hydrogen peroxide several times a day. You can use water but its not as good. It will take several cleaning before all the mucous and dried blood have been removed. It gets easier every day as the amount of nasal discharge diminishes, you become more confident and the initial crusts are finally all removed. The riskof moving the nose and causing it to change its shape are very minimal and a reasonable person isn't going to be so aggressive.

Oakley Smith, MD
Toronto Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews

Post Rhinoplasty Cleaning

+1

The best thing would be to gently clean the area with a Qtip dipped in saline (salt water). Place a small amount of antibiotic ointment, such as Bacitracin,  in the nostril twice a day. The moisture from the ointment helps loosen present scabbing and prevents new scabs from forming.

Elliot M. Heller, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 30 reviews

Best not to touch inside of nose after Rhinoplasty

+1

Without specific instructions from your surgeon, it's best that you not place q tips or anything else inside your nose in an attempt to clean it right after a Rhinoplasty.  You could disrupt stitches or cause a nose bleed.  Better that you go have one of the nurses clean out your nose and give you specific post Rhinoplasty cleaning instructions.

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

Dried blood in the nose is normal after rhinoplasty

+1

It is completely normal to have dried blood in the nose the day after rhinoplasty. Before you do anything, I would recommend that you contact your surgeon to see what his/her recommendation would be. While some surgeons encourage nasal hygiene during the first few days after surgery, others prefer that patients not insert anything inside the nose for the first few weeks. Personally, I usually see my patients the first day after surgery and clean out any dried blood. I continue to closely follow them for the first couple of weeks. I also encourage my patients to use saline nasal spray and allow them to clean the area OUTSIDE the nose with hydrogen peroxide. I discourage my patients from cleaning inside the nose because of risk of disrupting the healing process or stirring up more bleeding. Hope this helps!

Dr.Sunder
 

Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 4 reviews

Dried blood after rhinoplasty

+1

It is normal to have dried blood at the nares after rhinoplasty.  I have patients us nasal saline spray 4 times daily and clean the area gently with saline soaked gauze.  This will help prevent further crusting and hopefully help you breath better.  Donald R. Nunn MD  Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 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.