Why do some doctors advise the patients to continue taping the nose after splint removal while others do not? What is causing the difference in opinion? Also, how long after splint removal should one tape the nose nightly? Thanks! :)
Why Do Some Doctors Advise Patients to Continue Taping the Nose After Splint Removal?
Doctor Answers (11)
Taping the nose after splint removed following Rhinoplasty
I have performed Rhinoplasty for over 20 years and I'm not sure why surgeons have patients tape their noses after the cast (splint) is removed following a Rhinoplasty. In theory, tape application would push the swelling out of the nose, however since the tape has no inherent spring or strength to place continued pressure on the nasal tissues...most patients, IMHO are more likely to just lay the tape on the skin...which logically does nothing to push out swelling from the nasal tissues.
This is why, many years ago I started to instruct all of my Rhinoplasty patients on manual lymphatic drainage techniques to perform daily beginning one month after their Rhinoplasty. Gentle, sustained pressure, in the appropriate location, does effectively remove excess swelling in the nasal tissues.
Tape after rhinoplasty
Tape placed after removal of the cast is an option. The intended purpose is to try to control swelling. This may or may not work as the swelling should go down by itself.
Taping after Rhinoplasty
I do not have patient's tape after rhinoplasty. It is my opinion that some surgeons have the patients do this in order to alleviate concerns about swelling. The fact is that swelling is a physiologic process that tape cannot affect and must resolve through normal healing. Taping actually poses a risk as the process of placing, removing and replacing the tape can trigger an inflammatory reaction to the adhesive or just the process of peeling the tape off. This will actually only serve to prolong your swelling and could even cause a secondary skin reaction that you do not want.
The splint itself can be used for protection during sleep or worn in a modified form under glasses/sunglasses for several weeks after surgery in order to protect the bones while they heal.
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Taping the nose aftr rhinoplasty
We will at times have the patient tape the nose after rhinoplasty, as it can help modulate the post operative swelling in certain cases. It can also act as a reminder in some patients to take it easy, and not to have their nose in a dependent, (below their heart), position that would also increase swelling, (e.g.; yoga class etc).
Taping or not taping?
why do some people say tomato and others say tomah toe. i have no idea. just follow your surgeons instructions. he/she probably (not definitely though) has their reasons.
I do ask my pts to tape after the splint comes off to remind them to protect their nose for at least 3 weeks. good luck
Taping the Nose After Rhinoplasty
Taping after rhinoplasty
Taping the nose after splint removal
My practice is to routinely remove the splint at 7 days following surgery. I do not have patient's retape the nose following this for the express reason that taping changes nothing about the healing process. I do request that patient's wear the cast at night only for a further 2 weeks to avoid injury when rolling over in bed at night. Nasal exercises are recommended but not specifically necessary as your final result is due to the actions that occur in surgery and not what you do after leaving the operating room. Just be delicate with your nose and good luck with your healing process! Dr. Shep
Rhinoplasty Recovery and Swelling
When your splint first comes off, you should see some nice differences right away, but it takes time for all the swelling to resolve.
It can take even more time for the skin to contract around the new cartilage-bone framework underneath. That's why in some patients it can be helpful to use a light compressive tape after splint removal. It can help hold and mold the skin with gentle pressure.
It is not something I do for every patient, but would consider it if the splint came off a day or two early or in cases where the patient is quite swollen.