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Nose Exercises to Help Maintain Results After Rhinoplasty?

i am post-op 9 days and had the cast off yesterday everything looks good how can i keep the nose from shifting? i've heard about nose excersices to manitain the shape while the cartilidge and bone heals. is this necessary?

Doctor Answers (8)

Nose Excercise is Not Beneficial

+1

For starters, I would love to know what a "nose exercise" is, because I have never heard of such an activity.  I definitely concur with previous posters:  the nose is best left alone after Rhinoplasty and there is no benefit to moving it around.


Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 31 reviews

No benefit from nose exercises after rhinoplasty

+1

Nose exercise is not necessary and will do nothing to improve the overall shape, form or function of the nose after the surgery.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 54 reviews

Let the Nose Heal Naturally After Rhinoplasty

+1

Occasionaly a light compression to the sidewall of the nose specifically directed by your surgeon can have some benefit. Don't try this without consulting your surgeon first. Otherwise avoid any compression or manipulation of your nose after your Rhinoplasty. The nose is not a muscle or joint that requires exercise . The surgeon reshapes the nose not the patient .

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 56 reviews

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Nasal Exercises after Surgery

+1

Follow your surgeon's recommendations. Results are achieved during surgery, not after. Avoid any type of nasal trauma for at least 6 weeks after your surgery.

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

Nose exercises after surgery

+1

I think you might want a clarification.  I suggest nose exercises for my patients, but you need to be clear what that means.  One, I agree that you should not manipulate the tip of your nose at all.  That has been surgically corrected, and could be disrupted with aggressive rubbing.

Two, the portion of the bony nose, where the nose meets the face in the upper third of the nose, is where we usually do ;ateral osteotomies.  That does have a tendency to drift out after the splint is removed a week post op, in those patients that have had the upper two thirds of the nose narrowed.  So in order to counteract this movement, I have patients put pressure on the osteotomy sites early after the splint is removed, but only for three additional days.  By ten days post op, that position becomes more fixed, so additional pressure after that is neither effective nor suggested.

Third, about a month after surgery I have patients gently massage the skin to stimulate lymphatic flow, effectively cutting down on swelling.  The key is this is soft pressure, a point I demonstrate for them so they don't get carried away.

So are these types of activities considered exercises?  Yes.  But they are at specific times, are shown to the patient, and generally do not involve the tip. 

Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

Nose exercises

+1

Love Dr Mayers' statement! I recommend compression of the swollen areas after the 1st 3 weeks NOT BEFORE. But exercises will not really help.

FROM MIAMI DR. B

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 reviews

There are no exercises after rhinoplasty to prevent shifting.

+1

The surgery by a good surgeon is the exercise you want to do. The surgery should do the job, not you. Avoid any manipulation of your nose.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Nose "Excercises" after Rhinoplasty is not a great Idea

+1

EXERCISE - some definitions from the Merriam-Webster Dictionary
- regular or repeated use of a faculty or bodily organ
- bodily exertion for the sake of developing and maintaining physical fitness
- something performed or practiced in order to develop, improve, or display a specific capability or skill
- a maneuver, operation, or drill carried out for training and discipline

Nose "exercises" MAY be applicable to Samantha Stevens, to elephants or to circus performers NOT to post nose surgery patients.

After nose surgery, the surgeon tapes the nose skin to prevent movement which would increase long term swelling. The less the swelling, the better the results and the quicker they become visible.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 57 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.