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Removing my Rhinoplasty Cast?

I was instructed to remove my rhinoplasty cast on the 7th day after surgery. are there any tips of removing it? will pulling it off hurt my nose? I was told to put vaseline along the bandage edges and take a shower and let the steam losen it abit and then remove it once Iam out? should I peel it off from one side to the other?

Doctor Answers (11)

Rhinoplasty cast removal

+1

Ideally, rhinoplasty cast is removed by the operating surgeon. If you are not able to get to your surgeon, the cast can be removed by the technique described which is by loosening by way of steam and carefully pulling it from one side to the other.


Key West Plastic Surgeon
4.5 out of 5 stars 38 reviews

Removing Your Rhinoplasty Cast

+1

Hi-

The best possible scenario is to have your cosmetic surgeon who performed the procedure remove the cast.  If this is not possible, I would begin at the edge of the cast and work your way around it to gradually loosen it.  If it does not come off easily, wait a day and try again.

William P. Adams, MD
Boston Plastic Surgeon
4.0 out of 5 stars 5 reviews

Rhinoplasty Splint Removal

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Dear Crookedtrees, This is a very unusual request to have the patient take their own nasal splint off. I have over thirty years of experience and the only time a patient has removed a cast was by error from showering and that was one in ten thousand. It is the surgeons job to remove the splint. It is one of the many great joys we are rewarded with as surgeons to see our patient's happiness when viewing their new nose for the first time! Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 133 reviews

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Removing my Rhinoplasty Cast?

+1

 I have performed Rhinoplasty for over 25 years and IMHO, the cast should be removed by the Rhinoplasty Surgeon...not the patient.  Lifting the skin up off of the nasal skeleton, after Rhinoplasty, could lead to bleeding and other unwanted consequences.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Nasal Cast and tape removal suggestions

+1

Dear crookedtrees

  • I agree with the others on the board that the cast is best removed by the surgeons office. 
  • If you are to remove this yourself, vaseline and steam are good ideas.
  • on occasion, the adhesive tape will be too attached and an adhesive remover may help loosen the tape.

Best Wishes

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Removing the splint after Rhinoplasty

+1

I prefer to remove the splint myself. It is often well adhered, and may take two weeks to loosen up on its own. Leaving the splint on for too long will block the pores on the nose. Removing it too soon, or too vigorously can lead to distortion of the results.

Sometimes it is advantageous to apply steri-strips to the nose after splint removal to help control post-operative swelling. These are all judgements best made by your plastic surgeon.

Joseph Mele, MD
Walnut Creek Plastic Surgeon
4.5 out of 5 stars 7 reviews

Be Gentle When You Remove Your Rhinoplasty cast

+1

That's a really interesting question given that I bet that almost 100% of us would remove your cast in the office. The main reason is not just because we need to be the ones to remove the cast, but we need to see what things look like underneath the cast (how does the skin look, what does the nose look like, etc). If you are going to do it yourself, the key is to do it as gently as possible. I would use a lot of steam. I might steam it, try to lift up a few edges slightly, steam it some more, lift up a bit more, etc. After removal I would recommend you take a picture of the nose and email it to your surgeon.Good luck.

Michael R. Menachof, MD, FACS
Denver Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Removing nasal splint

+1

I do not think that it is a good idea for a patient to remove the nasal splint.  I usually do this personally for my patients.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Rhinoplasty recovery

+1

Dear crookedtrees,

  • This is really the job of the plastic surgeon
  • We are very careful in removing the cast so we do not pull on the skin and slow down healing
  • You should call your doctor and have him/her remove it for optimum results

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Removal of Splint at 7 Days after Rhinoplasty

+1

    The removal of the splint at 7 days is not usually performed by the patient.  However, if you do not have a plastic surgeon nearby, moisture will probably help, but I would definitely not force anything.  If you meet resistance, stop.  If you must, go to another plastic surgeon's office and have this removed.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 230 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.