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Extreme Discomfort After Rhinoplasty?

Hi, Im a 19 year old male who underwent rhinoplasty and I'm in big discomfort. I hate complaining and acting helpless, but I cant sleep at all and its very hard to breathe through my mouth. I had a bad reaction to the anesthesia and bit my lips hard among other things. They are so swollen I have so much trouble drinking water and eating. What can I do to relieve the pressure inside my nose so I can get some rest :(. Please tell me this pressure inside goes away.

Doctor Answers 6

Is it common to have extreme discomfort after rhinoplasty?

In most people discomfort and pain after rhinoplasty settles 24-48 hours after the surgery. In patients where the nasal bones have been narrowed, termed osteotomies, a minority of patients may find some sensitivity and discomfort over the bridge of the nose intermittently for several weeks. In addition there is some swelling on the inside lining of the nose that can result in symptoms of congestion, this can result in headaches particularly in sensitive individuals if coupled with other conditions such as hay fever or sinusitis. These patients may benefit from a course of antibiotics or anti-inflammatory medications during the recovery period. There can be a wide variation in individual patient’s threshold for pain, most patients report only mild or minimal discomfort

London Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

The Centre, 89 Hammersmith Grove
Hammersmith, London W6 0NQ

Extreme discomfort following rhinoplasty surgery

The discomfort following rhinoplasty is generally minimal and can be easily controlled with pain medication.  Typical side effects of rhinoplasty may include the following:

1) Mild pain
2) Congestion
3) Blood tinged discharge for 48-72 hours following surgery
4) Swelling
5) Numbness


The congestion can be helped with nasal sprays or irrigations.  I would use petroleum jelly for your lips and an over the counter spray or throat lozenges for your sore throat.  If your pain is severe, I would recommend a visit to your surgeon right away to rule out the possibility of any complications that may have occurred.  Thanks and I hope this helps!

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 37 reviews

6849 Fairview Road
Charlotte, NC 28210

Major Discomfort After Rhinoplasty

Dear Alex,


Although I do not know how far are you into your recovery period, but the congestion that you feel inside your nose will go away.

Therefore, I encourage you to see your surgeon so he/she can make sure that you do not have old blood blocking your nasal passageways.

If this is the case, then clearing them is not of a complex procedure so you can feel relieved quickly.


Thank you for your inquiry and the best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 176 reviews

496 Old Newport Blvd
Newport Beach, CA 92663

Extream pain after nose job

Its not at all common to be in such pain after nose job.I quite agree with Dr.Thomas Buonassisi, MD with the possibility of Septal haematoma to be the cause for such pain and nasal block.I am sure your surgeon can resolve the issue.Wishing you all the best

Ashok Govila, FRCS, MCh, MS
Dubai Plastic Surgeon
5.0 out of 5 stars 64 reviews

Villa 898
Umm Suqeim 1, Dubai 04

Pain after Rhinoplasty

Its actually uncommon to have significant discomfort after Rhinoplasty. You should see your surgeon to rule out the possibility of a septal hematoma. This can be easily treated if that's the case. Your not complaining, your in pain . See your doctor.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 75 reviews

100-1537 West 8th Avenue
Vancouver, BC V6J 1T5

Post rhinoplasty discomfort passes

I don't know how long it's been since your surgery, but I suspect it was relatively recent, since your mouth and lips are still swollen. First of all, you should be seen by your surgeon to be sure you don't have a collection of blood in your nasal passageway that may need to be relieved. Once all the immediate postoperative swelling resolves, you should be quite comfortable.

Verne Weisberg, MD
Portland Plastic Surgeon
4.5 out of 5 stars 12 reviews

195 Fore River Parkway
Portland, ME 04101

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.