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How Do I Minimize Bruising from a Rhinoplasty?

I am considering a nose job but worried about buising after wards. Tips for reducing bruises are really helpful

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bruising

How to minimize bruising after rhinoplasty

Bruising is staining of the undersurface of the skin with blood that has leaked from the vessels. Unfortunately eyelid skin is the thinnest skin on the human body and can really show the staining underneath very easily (like a window).In rhinoplasty, the blood that leaks from the break or cut in the nasal bones or from dissection during nasal shaping in the upper third of the nose, will likely show itself on eyelid skin.Now that we have an understanding of the cause(s), here is what may help... more

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Ashkan Ghavami, MD

Beverly Hills Plastic Surgeon

ASPS

Rhinoplasty Recovery: Tips for Minimizing Bruising and Swelling

Bruising and swelling are a normal part of rhinoplasty recovery. They are dependent on several factors related to both the surgical technique and the patient. Techniques that increase bruising and swelling include whether or not the nasal bones were broken (osteotomies), the extent of soft tissue dissection/elevation from the bony-cartilaginous framework, and whether the surgery was performed open or closed. Patient factors include age, skin thickness, nutrition, bleeding... more

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C. Spencer Cochran, MD

Dallas Facial Plastic Surgeon

Surgery recovery products make false promises about bruising

It's discouraging to see so many products being recommended that are woefully lacking in any scientific support: arnica montana has not been shown in well designed studies to affect bruising. "vitamin k oxide" has not been shown in well designed studies to reduce bruising and the claim that it alters heme metabolism or hemosiderin degradation is also not supported (FYI: vitamin k is a coenzyme in the synthesis of certain clotting factors in the liver, not in the skin.) bromelain,... more

David C. Pearson, MD

Jacksonville Facial Plastic Surgeon

How Do I Minimize Bruising from a Rhinoplasty?

The two best option is to diminish bruising after rhinoplasty are to begin taking Arnica Montana (tablets) 3 days prior to surgery and 7 days postop as well as Bromelein (pineapple extract pill form) for 1 week after surgery. In my practice I also routinely use fibrin glue in the osteotomy sites, which is a common anti-bleeding option availabe in the operating room. It tends to seal blood vessels at the site of controlled fracturing of the nose and severely limits bruising... more

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Shepherd G. Pryor, MD

Scottsdale Facial Plastic Surgeon

Reducing the Bruising

Keys to reducing the bruising: Before surgery stop medications that act as blood thinners, including: aspirin ibuprofen vitamins herbal supplements over-the-counter medications start arnica montana and bromelain, two herbal remedies that can reduce bruising and swelling after surgery Use ice compresses to cool (NOT freeze) the area of surgery... more

Paul C. Zwiebel, MD

Denver Plastic Surgeon

ASAPS ASPS

Minimizing Bruising After Rhinoplasty

For two weeks prior to your rhinoplasty surgery, it is important to avoid certain medications and supplements which can increase your risk of bleeding and bruising. In my practice, we give each patient a list of these products at the preoperative visit, which we schedule 2-3 weeks prior to the surgical date. After surgery, we advise you to place crushed ice in a glove and apply this (20 minutes every hour for 48-72 hrs) to the eyes and forehead, where bruising and swelling may occur.... more

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Umang Mehta, MD

Bay Area Facial Plastic Surgeon

How to minimize swelling after rhinoplasty (nose job)

Our protocol for minimizing bruising are as follows: 1. Avoid blood thinners, antiinflammatories, Vit E, garlic, etc. at least two weeks prior to surgery (we have a three page list of meds to avoid that patients take home and put on their refrigerator at their preop visit) 2. Take arnica montana, bromelane, vit C and eat lots of pineapple prior to surgery 3. No smoking or drinking prior to surgery 4. Gentle, atraumatic surgical technique (probably the most important of all)... more

Ramtin Kassir, MD

New York Facial Plastic Surgeon

Preventing post-surgery bruising

For prevention - avoid Vitamin E, fish oils, and aspirin (an absolute must to not take) for the ten days prior to surgery, and for the three days prior avoid alcohol and anti-inflammatories. For the first two days after surgery, I recommend patients apply as much as possible iced gauze or ice packs. Arnica- both gel applied topically and oral pills can help speed up the resolution of bruising. Lastly, there are some surgical techniques that the surgeon can utilize that can sometimes help... more

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Jeffrey S. Epstein, MD

Miami Facial Plastic Surgeon

Recovery after Rhinoplasty

Although bruising after Rhinoplasty isn’t uncommon, following your surgeon's post operative instructions can assist with minimizing your recovery time as much as possible. The splints and packing strips used immediately after your surgery assist in preventing swelling and bruising. Also, your surgeon may recommend things like avoiding blood thinning medications such as Aspirin or Vitamin E two weeks prior to surgery and will usually give you a complete list to adhere to. For my... more

Scott W. Mosser, MD

San Francisco Plastic Surgeon

ASAPS ASPS

Bruising after Rhinoplasty

If you are an easy bruiser you will probably bruise after a rhinoplasty. There are a few guidelines: To minimize bruising, you should avoid certain medications and supplements Avoid bending or straining after surgery Avoid nose blowing Treat nause so you don't end up vomiting Keep your head elevated Use cold compresses

Sam Naficy, MD

Seattle Facial Plastic Surgeon

Minimizing bruising from rhinoplasty is the...

Minimizing bruising from rhinoplasty is the surgeon’s job before, during and after rhinoplasty. Before surgery it is important to stop blood thinning medications and vitamins. No aspirin containing products or anti-inflammatory medications such as ibuprofen should be taken for one week before surgery. Vitamin E, Gingko Baloba, and fish oils should be stopped. Patients should abstain from alcohol for one week before surgery as well. I start my patients on a homeopathic regimen of... more

Andrew Jacono, MD

New York Facial Plastic Surgeon

Bruising from rhinoplasty or nose job

Bruising can occur from rhinoplasty or a nose job under and around the eyes. This is especially true if the nasal bones are fractured. However, some patients may not bruise at all. Most bruising will resolve within 3-7 days if present. Arnica tablets before and after surgery might help as do cold compresses post operatively. Warm compresses will help 3-4 days after surgery. see video

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Etai Funk, MD

Houston Facial Plastic Surgeon

Nasal surgery, nasal swelling, bruising after surgery

Minimizing nasal swelling may be more difficult than in dealing with surgery in other parts of the body. Facial surgery in all of its forms involve longer and more noticeable swelling because of the increased circulation to the face in general.. All of the traditional recommendations made to help with bruising reduction should be followed- do not use aspirin or antiinflammatory medications for two weeks before and after surgery, don't take vitaminE for the same period of... more

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Francis (Frank) William Rieger, MD

Tampa Plastic Surgeon

ASPS

Bruising after rhinoplasty

An ounce of prevention is worth a pound of cure. Before surgery : avoid any asprin or asprin containing medications, Nasids, alcohol, high doses of vitamin A, Ginko Baloba. After surgery ice packs; frozen peas, a glove of crushed ice or some cooling devise is helpful for 48-72 hours. Elevation of head for sleeping and avoiding anything that might cause an increase in blood pressure can also be helpful. Please read the physician from Florida's analysis of bruise releaving... more

Jon Sattler, MD

Glendora Plastic Surgeon

ASPS

Controlling bruising after rhinoplasty

Bruising after rhinoplasty typically is black/purple at days 1-3, brown by days 3-5, yellow by days 6-8 and gone by days 9-10. Swelling is at its worst at day 3-4. Bruising is best controlled by an atraumatic rhinoplasty that causes little bleeding. Usually the most bleeding may occur during nasal bony work (osteotomies), and eventually this blood collection may spread below the lower eyelids and upper cheeks to cause the bruising you fear. Your surgeon should be... more

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Thomas T. Le, MD

Baltimore Facial Plastic Surgeon

Minimizing Bruising After Rhinoplasty

The key element here is to do the following immediately post-op: during the day for the first 72 hours after surgery, apply crushed ice in an ice bag or Swiss Eye Pads to minimize swelling and bruising. Do not put pressure on the nasal splint. It is normal to continue to swell after the first 48 hours. Swelling reaches its peak at 48-72 hours. Avoid strenuous activity (INCREASING YOUR HEART RATE ABOVE 100 BEATS PER MINUTE) i.e., aerobics, heavy lifting, and bending over for the first 3... more

Rod J. Rohrich, MD

Dallas Plastic Surgeon

ASAPS ASPS

Rhinoplasty recovery- Reducing Bruising after nose surgery in Los Angeles

Almost everyone gets bruising under their eyes and by their cheeks after a rhinoplasty or nose job in Los Angeles. There are several steps during rhinoplasty recovery that help to lessen the extent and duration of bruising and swelling. first, rest with your head elevated for the first few nights. Also, use plenty of ice over your nose and eyes. You can also take Arnica Montana supplements and pineapple juice.

S. Sean Younai, MD

Beverly Hills Plastic Surgeon

ASPS

Rhinoplasty bruising

First thing to consider is to be well hydrated before surgery...avoid aspirin and ibuprofen 7-10 days beforehand and avoid alcohol for 2 days pre op. Arnica Montana is a wonderful supplement that you can begin taking up to a week before surgery and eating fresh pineapple before and after helps many patients keep bruising to a minimum. Post operatively keep cold compresses and elevation on your mind to reduce discomfort and swelling...best of luck!

Marshall T. Partington MD, FACS

Seattle Plastic Surgeon

ASPS

There should be little or no bruising after rhinoplasty

Bruising occurs when blood gets into the soft tissues of the nose, such as skin. During rhinoplasty, the nasal bones are cut to reshape the upper part of the nose. In order to stop bleeding, we all know to apply pressure directly to the site for at least 5 minutes. Unfortunately, after osteotomy ( Cutting bones ), no pressure is applied to the cut areas and bleeding from these sites continue into the skin causing the racoon eyes etc. Application of direct pressure to the cut areas of the... more

Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon

Bruising after rhinoplasty occurs if there are changes made to the bony framework of the nasal dorsum

Bruising after a rhinoplasty generally only occurs if there are changes made to the bony framework of the nasal dorsum. If the corrections made are confined to the nasal tip or inside of the nose, visible bruising may be avoided altogether. If bony changes are included as part of the surgery, bruising will be minimized by avoiding any aspirin or aspirin-like products for at least 7-10 days prior to surgery as well as Omega-3 fatty acids or any other blood-thinning over-the-counter or... more

Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon

Minimizng bruising after rhinoplasty

We give out patients a list of do's and don'ts. Vit A and E, Aspirin, Garlic, St. Johns Wart, etc. all can precipitate bruising and bleeding. We have them stop this 2 weeks before and after surgery. Ice and elevation also help. Our patients also like Arnica, an herbal supplement.

Jeffrey Roth, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Minimize bruising

The easiest way to minimize bruising is with three aspects provided by any good experienced rhinoplasty surgeon. 1) Keep operative time to a minimum, if possible, and do as atraumatic surgery as possible. An experienced rhinoplasty surgeon can do all but the most demanding rhinoplasties (grafts, extensive suturing, etc ) in less than 1 hour. With experience most good rhinoplasty surgeons learn to handle the tissues with as little trauma as possible. 2) The use of epinephrine... more

Richard Galitz, MD

Miami Facial Plastic Surgeon

Causes of Rhinoplasty Bruising

Rhinoplasty bruising depends on a number of factors including the type of rhinoplasty performed, the skill of the surgeon, post-operative patient choices, pre-operative patient choices, and patient genetics. First off, bruising during a rhinoplasty is almost all from cutting the nasal bones. If your rhinoplasty doesn't involve cutting the bones, you probably will not bruise at all. Rhinoplasty of the tip only, or ones that involve making the nose larger frequently... more

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Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

Tips you can do to minimize bruising

1. Do not take aspirin, wine, alcohol, or multivitamins for 7 days before and after surgery. 2. After surgery try and sleep with your head elevated for 2-3 days (2 pillows) 3. Use ice for 30 mins on and 30 mins off after surgery. There is another product called an Aqua-Cool that really works very well! 4. Vitamins that help to minimize bruising. Vitamin K, Vitamin C, Folic acid, Bromelain, Arnica Montana. Start vitamins 5 days before... more

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Raghu Athre, MD

Houston Facial Plastic Surgeon

Several steps to minimize bruising

While bruising following a rhinoplasty is often related to the steps performed during the rhinoplasty procedure, it is usually out of the control of the patient as well as the surgeon. However, the following may be beneficial to reduce post-operative bruising after a rhinoplasty: elevation of the head above the heart for a few days, ice application to the nose and eyes, and Arnica Montana.