What is recovery like when you have a nose job where the bone is broken in order to reshape the nose?
Recovery After a Nose Job That Requires Breaking the Bone
Doctor Answers 10
Breaking the nose during rhinoplasty
I get this question all the time from patients. "Doc, do you really have to break my nose?!?"
First off, a little background... Breaking the nose in rhinoplasty refers to the making of osteotomies, which are thin, controlled, and curved fractures in the nasal bones. These may be done to narrow the nasal bones, straighten them, or to bring them together after a hump is removed.
There are three types, medial, lateral, and intermediate. Medial osteotomies are made from the center of the bridge of the nose, where the nasal bones end, towards the corner of the eyes. Lateral osteotomies are made along the sides of the nose, where the nasal bones meet the cheeks. And internediate osteotomies are also made along the sides of the nose, closer to the bridge than the lateral osteotomies. Lateral osteotomies are the most common. In all cases the fractures are made very delicately, with a small chisel, from the inside of the nose.
As recovery goes, I have found that there is somewhat increased bruising and swelling around the eyes in patients who have osteotomies. This seems to be present for 3 to 4 days following the rhinoplasty, though the swelling and bruising largely subside by day 6 or 7, when the splint is removed. Of course every patient is different but the vast majority look quite presentable between day 8 and 12 following rhinoplasty, whether osteotomies are done or not. Pain is usually mild, regardless of osteotomies, and most patients require pain medication for the first 3-4 days. Icing around the nose, keeping the head elevated, and taking supplements such as arnica montana and bromelain all seem to help minimize bruising.
The bottom line is that osteotomies sound scary but are really quite routine and shouldn't deter patients from undergoing a rhinoplasty. Your recovery after nasal surgery is really not bad regardless of whether they are done or not.
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Recovery after Rhinoplasty with Breaking the Nasal Bones
In most rhinoplasty surgery the nasal bones are broken. The cast and and external sutures are removed 6-7 days after surgery. Swelling and bruising are obvious for about 10 days. I tell my patients to avoid strenuous physical activities for 2 weeks and the risk of any nasal trauma for 6 weeks. These are basic recommendations but discuss recovery with your surgeon who knows what will be done in your operation.
Most rhinoplasty requires some controlled fraturing of the nasal bones. Usualy the recovery is the same. The splint comes off in a week and most bruising goes away in 10-14 days( realistically)
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Breaking the bone with rhinoplasty
Sometimes the nasal bones need to be moved or narrowed slightly when performing rhinoplasty. This is rarely perceived by the patient and is not as bad or painful as it sounds. I find that the swelling is socially acceptable within 5 to 7 days following the surgery. About 1 in 5 people will have a small bruise as a result of this.
In my hands, it's the same
Recovery is quick with a rhinoplasty weather or not you break the bones. The swelling is the worst at day 3 - it gets progressively better after that. The same for black and blue. Most people are out of work for no more than 5 - 7 days ==. Breaking the bones is very common and does not add to swelling in my patients.
Timeline for Nasal Fracture after Rhinoplasty
When the nasal bones are fractured to re-position the bone during rhinoplasty there is more swelling than if the nasal bones are not manipulated. The swelling peaks between 48 and 72 hours then slowly resolves over the next week. a nasal splint is worn for the first week so that when the splint is removed the majority of the swelling has resolved. Swelling for nasal in-fracture is distinctly different that nasal tip swelling after alteration of the nasal tip cartilages.
What is the typical recovery following nose job (rhinoplasty)?
It is difficult to answer your question accurately without knowing exactly what procedure will be performed. If the nasal bones and cut and respositioned to straighten the nose then recovery is fairly straightforward. You require tape and a plastic nasal splint for about one week. You can have swelling and bruising for 2-3 weeks. If a more involved rhinoplasty is performed where a bump is taken off the bridge or the nasal tip is modified then you can experience more prolonged swelling of the nose. In most cases, the majority of swelling has resolved by three months but small amounts of swelling can persist for up to 12 months.
Thank you for your question.
Stephen Weber MD, FACS
Osteotomies and recovery from rhinoplasty
Following a rhinoplasty where osteotomies are performed, the initial recovery will be around 2 weeks. You will have a hard cast on your nose the first week, and brown paper tape the second week. For the first week, you will be taking it easy. Sleeping with your head elevated and resting throughout the day is important. You will gradually increase activity the second week. When osteotomies are performed, bruising around the eyes will be present for around two weeks. The bruising may last longer depending on the patient. You will want to avoid any strenuous activity for 4-5 weeks. Not sticking to these guidelines will increase swelling and delay your healing time. Thank you and I hope this helps.
Osteotomies and rhino recovery
Recovery is a patient specific thing
but in general a rhinoplasty with breaking the bone will take a little while longer to heal than one without. This is due to a little more bruising and swellling. But when done well the recovery does not need to be that bad
This is a generally opinion: one should not avoid Osteotomies just because the recovery might be longer. If they are needed they are needed and they have a powerful affect on the upper 1/3 of the nose. You only have one opportunity to do it right the first time - obvious but true.
one week with splint
5-10 days of bruising if any is present ( not all rhinoplasty patients have brushing under the eyes)