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How Do I Minimize Bruising from a Rhinoplasty?
asked 4 years ago by anon
Latest answer by Norman M. Rowe, MD
Question viewed 48,123 times
Tags: bruising
I am considering a nose job but worried about buising after wards. Tips for reducing bruises are really helpful
57 answers to How Do I Minimize Bruising from a Rhinoplasty?
+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...
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+4
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...
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+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....
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+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,...
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David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+2
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.
Norman M. Rowe, MD
New York Plastic Surgeon
New York Plastic Surgeon
+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...
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+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.
S. Sean Younai, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+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...
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+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)...
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Ramtin Kassir, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+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...
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+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...
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Scott W. Mosser, MD
San Francisco Plastic Surgeon
San Francisco Plastic Surgeon
+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 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...
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Manish H. Shah, MD
Denver Plastic Surgeon
Denver Plastic Surgeon
+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...
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+1
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
+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...
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+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...
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Jon Sattler, MD
Glendora Plastic Surgeon
Glendora Plastic Surgeon
+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...
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+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...
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+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!
Marshall T. Partington MD, FACS
Kirkland Plastic Surgeon
Kirkland Plastic Surgeon
+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...
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+1
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...
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+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.
Jeffrey Roth, MD
Las Vegas Plastic Surgeon
Las Vegas Plastic Surgeon
+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...
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+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...
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+1
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...
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+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.
Roger J. Oldham, MD
Bethesda Plastic Surgeon
Bethesda Plastic Surgeon
+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...
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+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.
Darrick E. Antell, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+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...
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+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.
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+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
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Talmage J. Raine, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+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...
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+1
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...
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Marc DuPere, MD
Toronto Plastic Surgeon
Toronto Plastic Surgeon
+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....
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Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+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...
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+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...
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+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....
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Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
Oklahoma City Facial Plastic Surgeon
+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.
Howard T. Bellin, MD
Manhattan Plastic Surgeon
Manhattan Plastic Surgeon
+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.
Jason B. Diamond, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+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...
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+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...
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Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon
Seattle Facial Plastic Surgeon
+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...
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Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
San Francisco Facial Plastic Surgeon
+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...
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+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.
John Diaz, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+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...
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Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+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...
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Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+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...
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Steven H. Dayan, MD
Chicago Facial Plastic Surgeon
Chicago Facial Plastic Surgeon
+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...
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Gregory Turowski, MD, PhD
Chicago Plastic Surgeon
Chicago Plastic Surgeon
+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,...
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Sanjay Grover MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+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.
Daniel Reichner, MD
Newport Beach Plastic Surgeon
Newport Beach Plastic Surgeon
+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...
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Anil R. Shah, MD
Chicago Facial Plastic Surgeon
Chicago Facial Plastic Surgeon
+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...
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Andrew Jacono, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
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