I had my Rhinoplasty done one month ago. I was told to take 2 weeks off the gym. I took four weeks off. During those three weeks, I was liking my result more and more. I had a follow up and the doctor said that swelling is still evident, but I am doing fine. I started going back at the gym this week (lifting weights). I took a picture this week, and compared it to last week, and I feel that there is slightly more swelling in my nasal tip. Could it be that I have caused a permanent damage and permanent swelling?
Have I Caused Permanent Damage After Rhinoplasty?
Doctor Answers (4)
Sun and Rhino
Pablo Prichard, MD
Rhinoplasty is a complex surgical procedure
Reshaping the nose can be complex. The surgery can be performed inside t he nose ("closed approach") or with a small scar at the bottom of the nose ("open approach") . Depending on the approach used and the extent of surgery post op swelling will occur. Most of the swelling will resolve in the first few weeks and by 6 weeks the nose usually gives some indication as to the final appearance. It is important to note that the nose may change over a period of years and constant followup with your surgeon is needed. Most cases of temporary swelling if related to straining or minor pressure variations will resolve. It is best to see your surgeon to evaluate the swelling to give you the best advice on the long term outcome. Best of luck.
All patients should be as conscientious as you. You probably did cause additional swelling with your strenuous activity. However, this should be a temporary setback. Resolution of the swelling will take a little longer; no permanent harm. Listen to your body and be patient getting back to your normal routine.
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Rhinoplasty Recovery: Swelling
Some patients experience transient swelling after rhinoplasty with activities such as exercise, sun exposure, and alcohol consumption. This swelling should go down gradually and usually does not indicate that any permanent damage was done.
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.
Swelling following rhinoplasty resolves at variable rates. For the initial two weeks, the nose is markedly swollen and noticable to anyone. After the second week, the swelling usually subsides such that it is not obvious to the casual observer that anything has been done to the nose; however, the nose will look "puffy" to the patient for several months. Usually by 4 months, the vast majority of the swelling will dissipate, but it may take a full year (or longer in some cases) for all of the swelling to resolve.
The severity of swelling can be minimized by following these tips:
* Ice packs to applied to the cheeks for the first 48 hours -- beyond that time, it is of little benefit
* Keep you head elevated higher than your heart. This will help minimize the amount of edema (swelling)
* Herbal supplements such as bromelin, papaya extract, and arnica may be of benefit, but few studies have proven their effectiveness.
* Most of all, be patient. Most of the bruising and swelling will gradually subside over the first one to two weeks after surgery.