What to Do with Scabs Inside the Nostrils After Rhinoplasty?

I had Rhinoplasty one month ago. I have scabs on the inside of my nostrils and they are very uncomfortable. I was told to use peroxide and q-tips but it does not help. I feel stuffy because the scabs make it hard to breath. Is this normal?

Doctor Answers (28)

Rhinoplasty scabs should be improved with cleansing

+2

The hydrogen peroxide can help break up the crusts. But you could also be doing some nasal saline rinses to keep things moist and allow the crusting to break down. Your surgeon can also help take some of the crusting away with instruments. Sometimes depending on what was done, your airway may be too open and this can cause a dry nose syndrome where the inspired air is too easily passing through your nose causing it to dry and also possibly get infected. Your surgeon could help in determining this possibility.


Bellevue Facial Plastic Surgeon
4.0 out of 5 stars 37 reviews

Visit your doctor

+2

 If you are one month postop, your incisions are healed and your doctor can be more aggressive in removing the scabs that aren't responding to peroxide.  They will be happy to help ou out!

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

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Post rhinoplasty care

+2

Every doctor has their own regimen. After the 1st week, mine is as follows:

1. Each day put head under the shower head and cup your hands over your nose to setup a 'steam box" breathe in steam for 1 to2 mins.

2. Spray wit h AYR or OCEAN MIST 5 times during the day

3. Coat inside of nose with Vasoline each night

This should loosen most crusts .If not have your M.D. look at it.

Barry H. Dolich, MD
Bronx Plastic Surgeon
5.0 out of 5 stars 1 review

Most likely normal crusting after Rhinoplasty

+2

Anonymous,

Most likely you are feeling normal crust, sutures or stitches following your rhinoplasty surgery.

Many surgeons place silicone sheet inside the nose to temporarily support the nasal septum in the healing period. This splint is usually removed within 2 weeks. It is less likely you have an exposed septum or raw surface, even though it may feel like it. Small areas of exposed septum heal very well normally.

Many surgeons ask patients to use ointments (Bactroban for example) and saline nasal rinses during the healing period. Ointments and saline help loosen scabs and keep the nose moist and clean. Large scabs or crust can block the nasal passages, making it difficult to breathe. Sometimes these need to be cleaned out by the surgeon.

Always follow your postoperative surgery instructions and speak to you plastic surgeon if you have any concerns.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Scabs after rhinoplasty

+2

Scabs in your nose after rhinoplasty are very normal. Often, we plastic surgeons use dissolving sutures to close the incisions and they may take that long too dissolve. Old blood may also take a while to soften up and go away.

The advice you were given sounds reasonable. You probably have a visit with your surgeon in the next couple of weeks and you can ask him or her to evaluate this if they haven't resolved.

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
4.5 out of 5 stars 8 reviews

Scabbing and crusting in nostrils following rhinoplasty

+1
There can be a build up of crust and old blood especially in the first few weeks after surgery that causes congestion and can be uncomfortable. Crusted blood in the nostrils can be softened and removed quite easily. Make a solution of half hydrogen peroxide with half saline and using a Q-tip moistened in this solution to dab onto the crusted blood. This will help to dissolve and remove the crusted blood. In addition, the use of saline nasal spray can help to soften crust and mucous that is further back in the nasal cavity. If you are uncomfortable doing this, you should ask your surgeon to show you how to clean your nostrils.

Jamil Ahmad, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 6 reviews

What to do with scabs inside the nostrils after rhinoplasty

+1
  Hydrogen peroxide on Q-tips will help resolve the scabs on the inside of the nostrils. Saline irrigations will also help. Vaseline applied on a Q-tip on the inside of the nostrils will also help incisions inside the nostrils from drying out causing more crusting. You can also check with  your rhinoplasty surgeon to have your nose cleaned by them.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Scabbing Following Rhinoplasty Surgery

+1

It’s not uncommon to develop crusting and scabbing following nasal surgery. This is especially common when rhinoplasty surgery is performed in combination with septoplasty and the use of nasal splints. This crusting can result in nasal airway obstruction and postoperative discomfort.

For these reasons, it’s not unusual for patients to express concern about this problem.

In an effort to minimize crusting and scabbing, plastic surgeons frequently recommend nasal saline rinses or hydrogen peroxide rinses. Vaseline can be used to soften scabs and occasionally scabs can be removed with Q-tips and instrumentation.

If this issue represents a major problem for you then consultation with your plastic surgeon will prove helpful. Your surgeon will be able to recommend a treatment plan that will address this issue.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 74 reviews

Healing Post Rhinoplasty

+1

It is not uncommon to have some internal swelling and even some scab formation for 3-4 weeks after rhinoplasty. You should carefully remove this with hydrogen peroxide. One should use an antibiotic ointment and nasal saline spray and it will eventually go away.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 15 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.