When Should Cast Be Removed After Rhinoplasty?

Also my cast would be removed 5 days after rhinoplasty surgery. I thought it was a minimum of 7 days after. Was also told I can fly 5-6 days after my surgery. Am I getting positive information?

Doctor Answers 18

Cast removal after rhinoplasty

The answer as to when to remove the splint (or cast) should be left up to your doctor. They know what was done and how long it needs to stay on. Sometimes after an infracture (braking) of the nose, the bones are so stable that the cast is only used to help decrease swelling. I would say 5 days is average for many surgeons.


Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

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Nasal cast off in 5-7 days.

Most surgeons leave the cast on for 5-7 days. It is only the preference of each surgeon.

It keeps swelling down and protects against trauma.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Nasal Cast for 7 days

Most surgeons would agree that casting the nose after Rhinoplasty (especially if osteotomies are performed) is a good idea to protect the nose and serve as a reminder of the procedure. However, the length of time a cast should remain on is more a product of surgeon preference than real science. I typically leave the cast (fiberglass) on for 7 days, after which I tape the nose (brown paper tape) for another week. The nasal bones take a full 6 weeks to heal after osteotomies, so care should be taken during this period postoperatively. I like my patients to remain in town until after the cast is removed, so 1 week of flying restriction is typical.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 47 reviews

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Flying after rhinoplasty

I tend to leave the cast in place for 6 or 7 days post-op.

As for flying, remember that the cabin is a very dry place, so I recommend the frequent use of a saline (salt water) nasal spray throughout the flight (most bottles are way less than the 3 oz. limit imposed by the TSA). If the flight's longer than about two hours, I also recommend getting up and walking the aisle a few times to minimize the risk of deep vein thrombosis (clots in the deep veins of the legs). But flying after a week should be fine.

All the best,

--DCP

David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Cast can be removed 5 to 7 days after rhinoplasty

As you can see, the range is 5 to 7 days. And yes flying would be acceptable in 1 week. Hope this helps you in making a decision. Best of Luck!

Rhinoplasty splinting

Heather,

Five days for nasal splinting is the norm. The splint is used primarily to decrease swelling, which is most severe in the first few days following surgery. After that time it doesn't serve much purpose. Flying is most frequently delayed for one week following surgery. When you do fly, if it is longer than a two hour flight make sure you get up and walk several times and exercise your calf muscles to prevent blood clots from forming in your legs. Good luck!

Rhinoplasty and splint

A rhinoplasty splint is usually removed about 1 week after surgery. It is ok to remove it a bit earlier or a bit later. I would not worry about that. 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Rhinoplasty, When is Cast Removed and When Can Patient Fly?

Hi Heather,

I remove nasal splints or casts from my rhinoplasty patients at 5 days after surgery (i.e. surgery on Friday, cast off on the following Weds). It does no harm to leave it on for 7 days.

I have had patients fly after they had their cast removed, 5 to 7 days after their surgery.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Cast not important after rhinoplasty.

Hello, again.

1) We keep the "cast" (it's really a splint) on for 5 days after a rhinoplasty. Some excellent surgeons don't use a splint at all.

2) We like out of town patients to stay in New York for one week after surgery before they fly. This is the period of risk for a nose bleed.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Rhinoplasty cast can be removed after 6 to 7 days

Hi Heather,

The cast is mainly to reduce postop swelling. It can be removed 6 to 7 days after.

I usually let patients fly at 7 days postop and have never had any problems.

The most immediate concern is postop bleeding and/or infection. By 7 days these risks are greatly reduced.

Best,

Dr. S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
5.0 out of 5 stars 224 reviews

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.