Rhinoplasty: Q&A

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How Much Bleeding After Broken Nose Repair?

When a broken nose is repaired, is there much bleeding afterward?

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12 Doctor Answers | Asked by Eva S in Seattle, WA
+1

Usually, very little bleeding after nose repair

Any nasal fracture repair or rhinoplasty for that matter, if done properly in a healthy patient, should be associated with very little blood loss. After the case you may have a little oozing, but it usually stops in a couple days. We do not pack the nose because it is extremely uncomfortable - it is better to ooze slightly and breathe.
+1

Most of the time there is very minimal bleeding

Most of the time there is very minimal bleeding after the nose has been repaired. At the time of the surgery while patients are asleep, there is lidocaine with epinephrine injected into the nasal bones to stop any bleeding and bruising. The nose bones are then reset to their proper anatomical position and then a cast placed across the nose. There is some oozing the first 24 hours after the nose surgery has been performed.
+1

Typically no large amount of bleeding after Rhinoplasty

Typically after any Rhinoplasty surgery, there won't be a large amount of bleeding. There may be a small amount of oozing, but that gets soaked up either into a nasal drip pad or nasal packing (if your surgeon uses any.) My advice to all patients is to never swallow any blood once you are awake after surgery. It will make you nauseated and uncomfortable. The incidence of frank bleeding after surgery is very small in the hands of a careful surgeon. Uncontrolled blood pressure, use of... more

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+1

Did you have bleeding or are you anticipating it?

Erin, I would first ask you the above question. The amount of bleeding after a broken nose repair is highly variable from almost none to a moderate amount and is dependent on a number of factors, including but not limited to, your tendency toward bleeding, the extent of the break, the amount of work required to repair it, whether the septum is involved. Speak to your surgeon for answers to some of these questions and good luck!
+1

Nose bleeding after nasal fracture repair

Thanks for the question - The nose is a very vascular structure and fractures associated with mucosal lacerations can bleed quite a bit at the time of injury and at time of repair. In the operating room we're usually able to control the bleeding with cautery or vessel ligation in extreme cases. After surgical repair there may be some ooze. Your doctor may pack your nose to reduce the chance of hematoma internally. I hope this helps.
+1

Bleeding after nasal reduction

Bleeding after repair of a broken nose, in my experience is frequently similar to the amount of bleeding experienced at the time of the fracture. Various agents are used during surgery to minimize bleeding. A post-operative regimen is also prescribed to minimize bleeding and includes packing, compressses, head elevation, etc.
+1

Nasal Fracture; How Much Bleeding After Repair?

Hi Erin, We should ask Tex to answer your question. There should not be too much bleeding following repair of a nasal fracture. If the repair is a "closed reduction" where the displaced bones are manipulated, there should be very little to no significant bleeding. If the fracture is repaired through an open reduction, depending upon how much work is done, there can be a little bleeding for about 12 to 24 hours. An open reduction of the fracture is elective and patients should be... more
+1

Bleeding after broken nose repair

Usually after broken nose repair acutely or a rhinoplasty there is a small non-stick dressing of some sort placed under the nasal bones to support them. This is taken out at home the next day by the patient. In either case there is usually only a small amount of blood tinged drainage the first 24 hours that is minor.
+1

No reason to expect a lot of bleeding after repair

Erin, I have written a response to explain the different ways to correct a broken nose. The tall and short of the answer to your specific question is that there is no reason to expect a lot of bleeding after surgery. Most surgeons have you leave a gauze drssing below your nose for the first night after surgery to avoid any drip onto your lip. You should ask if there will be any nasal packing involved as this can be uncomfortable, and we have found it to be unnecessary in the vast majority... more
+1

Usually not a lot

I do not pack noses, either after a cosmetic procedure or a fracture repair. There is always some oozing and it usually stops after 12 to 24 hours.
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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.

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