How Do I Minimize Bruising from a Rhinoplasty? Doctor Answers, Tips
Rhinoplasty: Q&A
Ask a Question

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

Tags:
69 Doctor Answers | Asked by anon
+7

Bruising largely depends on how your surgeon does surgery

Perhaps one of the most frequent fear patients have regarding rhinoplasty is that they will bruise severely and that the bruising will result in them needing extended time off from work and away from friends. In our experience, here at Profiles we tell our patients that the vast majority of our patients experience minimal bruising and even those who do experience any bruising are can expect to return to work 6 days after surgery when the nasal cast is removed. We believe that... more
+5

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
+3

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

You might also like...

Real Stories

May 20th Surgery Date. - Missoula, MT

Monday morning at 7:30AM I am finally going to have done what I have wanted for decades. I...

Before + After Photos

View 3471 Rhinoplasty photos
+3

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
+3

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
+3

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
+2

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
+2

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
+2

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.
+2

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
+2

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
+2

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
+2

How to minimize big black eyes post-rhinoplasty

Post-rhinoplasty raccoon-type of peri-orbital bruising is common, especially if your surgeon performed an osteotomy (breaking the nasal bones).  Many things should be avoided before surgery for 10-14 days:  aspirin, advil, anti-inflammatory, vitamin E oil, fish oil, omega-3 oil, ginseng, ginkgo biloba, ginger, garlic pill.  Avoid alcohol for 3 days pre-surgery.  Post-operatively, eating pineapple and kiwi daily helps the bruise to resorb (they both contain bromelain, an... more
+2

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
+2

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
+2

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
+1

Bruising after Rhinoplasty

Everyone is different when it comes to bruising from any procedure. Patients will often know if they bruise easily from bumping themselves and know if they have that tendency. Some people bruise with rhinoplasty and some people do not at all. If bruising does occur, it is usually gone by 5-7 days. I usually say allot 10 days, just in case, if you are worried about going back to work with bruises. There are some things you can do to minimize this chance... more
+1

Tips for Reducing Bruising and Swelling after Rhinoplasty

This is a great question. First, the amount of bruising and swelling after rhinoplasty (nose reshaping) will vary based on a few factors: 1) the approach needed (open vs. closed); 2) if the nasal bones were treated (osteotomies); and 3) how long the surgery took. A fourth consideration is for revision surgery, which in general results in more swelling. In terms of reducing bruising and swelling, this can be though of in two phase: pre-op and post-op. About 2-3 weeks before surgery... more
+1

Bruising Normal With Rhinoplasty

Bruising and swelling is a normal part of rhinoplasty surgery. The type of rhinoplasty performed can make a significant difference if the amount of bruising experienced post procedure. Avoiding blood thinning vitamins such as advil, tylenol, fish oil, and vitamin E prior to surgery can help to minimize bruising. I also recommend taking oral Arnica before and after surgery to support the healing process and faster recovery.
+1

Surgical technique during rhinoplasty is important for minimizing bruising

Minimizing bruising is an important goal in rhinoplasty. I find that surgical technique has a lot to do with it. For my patients, bruising is much less obvious today than it was earlier in my career due to a number of factors, including increased precision when breaking the bones, more meticulous dissection, and the local anesthetic used. Icing the swollen area continuously for 8 – 12 hours after surgery is very important. Medications to improve bruising such as arnica have not been... more
+1

Bruising & Swelling Following Rhinoplasty Varies From Patient to Patient

Bruising and swelling following rhinoplasty vary from patient to patient. Several factors may contribute to bruising and these include the surgical techniques, wound healing characteristics of the patient, and the medical management of the patient in the pre and postoperative periods. The type of rhinoplasty performed may significantly impact bleeding and bruising. Patients who have their nasal bones fractured to narrow the nose are more likely to have postoperative bruising than those who... more
+1

Some homeopathic remedies may work

Ice is your friend. Continuously for the firs 48 hours as cold compresses or chopped ice in a non-latex glove. We also like pineapple juice, 1 large glass daily, starting 1 week before surgery and continuing for 10 days afterwards. It contains bromelain. Some of our patients also like to take arnica. There are not a lot of studies on these compounds, but they cannot hurt. Of course, no aspirin, ibuprofen or other so-called NSAID drugs, high doses of... more
+1

Perioperative measures to minimize bruising following rhinoplasty.

The amount of bruising and swelling that one experiences following rhinoplasty is determined by several factors. Surgical trauma - the degree of injury the soft tissues around the nose undergo during the procedure. This can be minimized with careful technique and dissection. Skin quality - in general, thin loose skin will bruise more than thick dense skin. Older patients also tend to bruise more due to the increased fragility of their blood vessels... more
+1

How Do I Minimize Bruising from a Rhinoplasty

Preoperatively, one should not have any aspirin or NSAID compounds prior to surgery for at least 7-10 days. Postoperatively, arnica and pineapple, and ice packs can help with bruising. Bruising is a normal part of rhinoplasty and may be minimal in some patients.
+1

Rhinoplasty and Bruising

Bruising after a rhinoplasty is multifactorial. The most common cause is the part of the procedure where your nasal bones are narrowed, infractured or broken to enhance the overall nasal balance. Other causes would include elevating the soft tissues of the nose in order to modify the underlying nasal framwork. A patient's individual bruisability also contributes to the level of bruising. Lastly, a surgeon's careful and meticulous handling of the nasal anatomy can... more
+1

How to Minimize Bruising after Rhinoplasty

The most important things to avoid 2 weeks before rhinoplasty are blood thinners such as Aspirin, Motrin and any other non steroidal anti-inflammatory drugs. Also, vitamin E, Fish Oil and many herbal supplements are blood thinners. The other factor is if osteotomies (cuts in the nasal bones) are necessary for your surgery. If they are not done, there is significantly less swelling and bruising. I would not avoid osteotomies if narrowing the nose is desirable, but... more
+1

How To Minimize Bruising After Rhinoplasty

We put our patients on arnica or bromelain. We also recommend that patients stop taking all vitamins and herbal supplements, as well as NSAIDs. Additionally, we tell our patients not to have fish for 2 weeks prior to surgery. All of these simple changes will help minimize bruising after a rhinoplasty.
+1

Help bruising

We tell patients at our office to use arnica gel and tablets as directed one week before surgery. Usually patients do not get much bruising. If they do It it usually resolves in a week or so. Bruising also depends on how you heal as well. Also it is important to avoid greens and certain vitamins and supplements before surgery. Hope this helps.
+1

Bruising from rhinoplasty

While swelling is part of the surgery, the ways to help control swelling include: 1) Stop medications that act as blood thinners such as aspirin, ibuprofen, vitamins, herbal supplements, and over-the-counter medications prior to surgery. 2) Use arnica montana as directed by the surgeon. 3) Use ice compresses to cool. 4) Proper Elevation 5) Avoid smoking
+1

There are several ways to reduce bruising and swelling after rhinoplasty.

Hello, Bruising and swelling after surgery are a normal part of rhinoplasty. Because the nose is a midline structure, it will take longer to decongest and lose its swelling after surgery. In my rhinoplasty practice I ask patients to make sure that they take care of several things to ensure the quickest recovery possible: 1. I ask that their blood pressure be under normal control 2. I ask them to refrain from alcohol usage for some time after surgery 3. I ask that... more
+1

Minimize bruising and recovery time by technique

It is true that if the nasal bones are broken bruising is more likely. And of course, all the common tips of avoiding ibuprofen, red wine, vitamin supplements not approved by your surgeon etc. make a difference. However, in any surgical procedure where the nose is manipulated gently, the natural fusion planes of tissue are respected, and the dissection for surgery is limited as much as possible, the outcome will be quicker healing with less bruising. These things... more
+1

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
+1

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
+1

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
+1

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
+1

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!
+1

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
+1

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.
+1

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
+1

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
+1

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.
+1

How to minimize bruising after rhinoplasty

Before Surgery The important things a patient can do to minimize bruising prior to rhinoplasty are:  - Avoid aspirin, NSAID inflammatories medications  such as advil for 10 days prior to surgery. - Avoid void Vitamin E, fish oil, Ginka Biloba, and other herbal supplements known to cause problems with bleeding. -  Take arnica montana prior to and following your surgery. During Surgery - Your surgeon's technique is important- a gentle touch and good... more
+1

How to decrease bruising after rhinoplasty

The most important part of getting a good result from rhinoplasty, or any plastic surgery, is the surgeon that you choose. Years of experience have improved surgical techniques to reduce trauma during the surgery and thereby reduce bruising from the outset. Other standard measures are ice compresses around the eyes and head elevation.
+1

Bruising after Rhinoplasty

Bruising to some degree is inevitable after most surgical procedures. Blood is released into the tissues around the surgical site due to trauma to the blood vessels during the procedure. In Rhinoplasty the biggest culprit is the fracturing of the nasal bones that usually accompanies significant reduction of the bridge of the nose. Each person has a genetically determined ability to control bleeding when they are cut. However, there can be a wide variance in a patient's ability to clot... more
+1

Also try Bromelain or eat pineapple

You have received a lot of good advice already about how to minimize bruising. Avoid medications and vitamins that make you bleed. You can also take the enzyme in pineapple, Bromelain, which I have found to dramatically improve the  amount of bruising seen after cosmetic surgery. After surgery, make sure to use ice  on your eyes and elevate your head. Once the bruises are about 5 days out, you can switch to warm compresses. The good news is that all bruising eventually goes away. more
+1

Minimize bruising after rhinoplasty

There are several things that you can do to minimize the bruising. Keep in mind that the amount of surgery you have and your own propensity for bruising are major factors in the bruising that you cannot control. No aspirin or other products that cause bleeding and bruising for two weeks prior to surgery. No herbal supplements two weeks prior to surgery Icing for the first 48 hours after surgery. Wishing you the best, Tal Raine MD more
+1

Minimizing bruising after rhinoplasty

The bruising seen after a rhinoplasty is caused by manipulation of nasal bones.  If your rhinoplasty does not require any bony work you should not expect any significant bruising. An expert rhinoplasty surgeon should have a well designed protocol to minimize bruising.  This will include a thorough pre-operative evaluation;  avoidance of specific medication, vitamins, nutrients and diet (we give our patients specific written and easy to follow pre-op instructions); expert... more
+1

Minimize Rhinoplasty Bruising

Several things can be done to minimize your bruising: 1. Avoid aspirin, ibuprofen, and similar medications for two weeks prior and after 2. Avoid Vitamin E, Vitamin A, Fish Oil, Flax Seed Oil, etc for two weeks prior and after 3. Take Arnica and Bromelain for a week prior and two weeks after 4. Take a daily multiple vitamin with minerals for two weeks prior and after 5. Keep your head elevated above your heart (including sleeping) right after surgery and for the first week 6.... more
+1

Rhinoplasty and Bruising

The most important factor in bruising following rhinoplasty relates to techniques that were performed during the surgery. If your nose is broken (termed an osteotomy) as part of the rhinoplasty, you might experience mild bruising during the first 5-7 days of recovery. In many cases, this can be kept to a minimum by certain precautions that are taken during surgery. If you do not require osteotomies as part of the nasal reshaping process, it is highly unlikely you will see much bruising at... more
+1

Rhinoplasty Healing - How to Reduce Bruising

Bruising after rhinoplasty does not occur every time rhinoplasty is performed. There are two factors that determine bruising: 1) What is done during surgery and 2) What YOU do after surgery. Obviously the first is in your surgeon's hands, but there are steps you should take to reduce this. 1) Ice - Applying ice to your nose and under your eyes will reduce the bruising and help it go away faster. This is mainly of help for the first 48 hours after surgery. The sooner this is started, the... more
+1

Find a gentle and skilled surgeon to reduce bruising after rhinoplasty

How does bruising occur after rhinoplasty? Actually, it occurs during the rhinoplasty when blood vessels on the sides of the nose are cut or broken during the surgery. The bleeding that occurs seeps under the eyes and is visible through the thin skin of the eyelid. This bleeding most often occurs when the surgeon performs the osteotomies (breaking the bones). There are certain things the surgeon can do to help reduce this bleeding: 1. be gentle. 2. use a very small and sharp osteotome. 3.... more
+1

Reducing bruising after a rhinoplasty

The most important way to have less bruising is to find a plastic surgeon who is gentle. A heavy-handed surgeon will casue more swelling and black and blue than is necessary. I also advise patients to take 1000 mg. of vitamin C twice a day beginning a week before the operation. There is no scientific proof, but through my extensive experience, I am convinved that this treatment is very effective.
+1

Tips to reduce bruising after rhinoplasty

Aside from all of the other tips that my colleagues have mentioned above, the one other thing that I find helpful is to ice the eyes during the surgery. Before the work even starts I place ice over the eyes and let it stay there for the majority of the case. Bruising is usually very minimal since I added this technique.
+1

Minimizing Bruising after a Nose Job (Rhinoplasty)

Post-surgical bruising can be related to the surgeon's technique and to the patient's propensity to bleed. SURGEON FACTORS - OPEN rhinoplasty allows the surgeon to coagulate bleeding vessels and prevent bruising. Some of the major bruising is related to the way the fracturing of the nose is done. There is evidence to support that if the fracturing is done through the skin, in postage stamp fashion, the artery the is located at the junction of the nose and cheek can be avoided and bruising... more
+1

How to minimize bruising after rhinoplasty

Significant bruising after rhinoplasty is uncommon. Avoiding medications that affect clotting (aspirin, etc.) is recommended. Infracturing of the bones during rhinoplasty might leave some bruising under the eyes. However, an open rhinoplasty is left completely dry by the surgeon so bruising is uncommon unless infracturing is part of the operation.
+1

How to minimize bruising after rhinoplasty

1. Follow your surgeon instructions. They will usually include stopping all blood thinning medications and supplements such as aspirin, ibuprofen, vitamin E for two weeks prior to your surgery. Usually, we give our patients a complete list of these medications and supplements at their pre-operative appointment. 2. Surgeon skill matters. You can ask to talk to several recent patients about their bruising. However, remember, in the grand scheme of things, an extra day or two of bruising is... more
+1

Reducing rhinoplasty bruising and speed your recovery

The best way to reduce bruising and speed your recovery is follow a carefully directed plan provided by your surgeon. The Maas Clinic provides each patient a flow sheet that describes foods, supplements and medications to avoid one week before surgery. The program follows with a homeopathic remedy of arnica montana (SinnEcc) for before and after the procedure. Specific instructions for the patient at home include crushed ice in a glove applied across the eyes and nose for periods of 20... more
+1

Follow your Surgeon's Instructions

Most surgeons will have some degree of written pre- and postoperative instructions for you to follow in addition to preoperative counseling. Obviously, part of the outcome relates to the surgeon's individual techniques. Part of the outcome relates to preoperative instructions: avoid aspirin, vitamin E, non steroid anti-inflammatory drugs, and/or other meds which promote bruising. Lastly, part of the outcome relates to postoperative instructions: avoid bending over, avoid lifting heavy... more
+1

Advice to decrease bruising and swelling after rhinoplasty

There are various things that can be done to reduce bruising and swelling. Some are done by the surgeon and some can be done by the patient. As a patient, the main things you can do to reduce bruising and swelling is to: 1. Keep your head elevated after surgery 2. Apply ice to your nose area after surgery 3. Avoid activity and get rest during your recovery. Some of my patients have taken arnica and pineapple juice and have told me this seemed to help.
+1

Swelling after rhinoplasty

Bruising after a rhinoplasty procedure is very common and can last up to two weeks in some individuals. One way to minimize bruising is to use ice frequently for the first two days after the procedure. Other ways to minimize bruising include avoiding aspirin containing products. Finally, there has been some evidence that using a natural homeopathic product called arnica montana can reduce bruising. Unfortunately, there is no sure fire way to totally avoiding bruising since any time a... more
+1

Avoiding excessive bruising and swelling after Rhinoplasty

Bruising and swelling on the nose are a reflection of the amount of surgical trauma the nose endures during rhinoplasty. The integrity of the lymphatics will also influence the course of swelling postoperatively. I recently had a patient from Beirut, Lebanon who had undergone a rhinoplasty four years ago and had significant swelling and bruising after the surgery. Before her redo Rhinoplasty, I suggested she avoid aspirin, ibuprofen, blood thinners, herbal supplements, and niacin. I also... more
+1

Try Auriderm and Bromelain and the closed approach

Hi Anonymous Bruising following rhinoplasty is rather rare in our practice. We reviewed our last 452 patients who had rhinoplasty and found significant bruising in less than 5%. In addition to making sure patients are off all blood thinners (aspirin, ibuprofen, greater 400 IU per day or Vitamin E, Ginger , Gingko Biloba and Garlic supplements) we have found that the closed rhinoplasty results in much less swelling and bruising then the open approach. Additionally we place all pre operative... more
+1

There is a product called Auriderm-post op gel which...

There is a product called Auriderm-post op gel which delivers the power of Vitamin K Oxide to help improve the appearance of post procedure bruises. The use of Auriderm helps the body reabsorb the blood more quickly. Auriderm's Vitamin K Oxide activates the body's natural healing process to help eliminate the unsightly discolorations in about half the normal time. For best results the first application should be immediately post-procedure, follow by twice daily till bruise is completely gone... more
+1

Some tips to minimize Rhinoplasty bruising

There are many factors involved to minimize bruising, some of which you have control of. First of all, as the surgeon, it helps to use a gentle touch and to minimize disruption of the periosteum or lining that covers the bone. Avoid aspirin and other non steroidal anti inflammatories such as advil, alleve and ibuprofen for 10 days prior to surgery. Also, avoid Vitamin E, fish oil, Echinacea, AirBorne etc. Take arnica montana several days prior to and following your surgery. Additionally,... more
+1

Minimizing bruising after Rhinoplasty

This is what I do to minimize bruising from Rhinoplasty: 1. Arnica Montana before and after surgery 2. Stop all aspirin, motrin, fish oil, vitamin E, flax seed oil and other blood thinners 2 weeks prior to surgery. 3. Compression splints on your nose after surgery for 7 to 10 days. 4. Ice packs to your nose after surgery. 5. Keeping your head elevated after surgery.
+1

ICE ICE ICE

Hints on how to minimize swelling: 1-No blood thiners before - asprin, motrin advil, or other drugs that cause bleeding 2-Use Arnica Montana (a health food) for 2 - 3 days before and after 3-Use iced compresses or frozen peas for the first 48-72 hours post op 4-Keep your head elevated - and sleep on pillows 5-Pick a surgeon who uses gentle technique
+1

Gentle Touch By Your Surgeon

There are several ways to minimize bruising: 1. Gentle touch by your surgeon- Bruising during rhinoplasty can be from several factors including tearing of the perisoteum (covering of the nasal bones) during the procedure. Maintaining this layer can help reduce the incidence of bruising 2. Avoid medications which promote bleeding 3. Avoid herbal medications which promote bleeding 4. Avoid social habits which can promote bleeding such as alcohol and caffeine (2 days before... more
+1

The best way to minimize bruising is to take...

The best way to minimize bruising is to take preventative measures. Patients must refrain from any aspirin, aspirin-containing compounds, ibuprofen, Vitamin E, blood thinning medications or herbal supplements two weeks prior to the surgery. The bruising is caused from blood that extravasates out into the skin. Bruising will dissipate in approximately ten days after the surgery.
+1

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
Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (1)

deborah.clarins 6 May 2013
i used ice packs the first 2 days and then after arnica montana gel,it helps a lot

Ask a Question

Welcome Back

Sign in with Facebook

Your information remains private and will not be posted without your permission.

Forgot your password?

Don't have an account? Create one now.

Join RealSelf

Join with Facebook

Your information remains private and will not be posted without your permission.

Please enter a valid email address
 Did you mean ?

By creating an account, you are indicating that you have read and accept the RealSelf Terms of Use.

Already a member? Sign In.

Retrieve your password

Enter your username or email address and we will send you a link to login.

Check your email

Check your email. We've sent you a link to reset your password.

Ok