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?
What to Do with Scabs Inside the Nostrils After Rhinoplasty?
Doctor Answers 29
Promoted Local Answer
Scabs after rhinoplasty can be just scabs or sometimes more
Simple scabs can be gently washed off with Peroxide, using a soaked Q-tip to paint the Peroxide in the nose.
After each cleaning, Vaseline ointment can be applied if you are not allergic to it. This whole regimen can be repeated 4-6 times per day. Scabs further inside can be softened with use of nasal saline sprays or salt water irrigation.
If the scabs do not heal or resolve this way after a week or two then the concern is the possibility of a deeper ulcer or even perforation under the scabs.
Let your doctor take a look and put your mind at ease.
Scabbing Following Rhinoplasty Surgery
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.
Scabs after rhinoplasty.
If you still have scabs a month out from your surgery, there is still probably an open area in the nasal lining that has yet to close. Depending on the amount of re-arranging of tissue, this can happen. The answer to your question is do what your surgeon told you to do. Only he/she knows what was done to the nose and what to expect for healing. My post op instructions are at the attached link near the bottom of the page. Sounds like what you were told. My patients also use a salt water spray called Simply Saline.
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Rhinoplasty scabs should be improved with cleansing
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.
Visit your doctor
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!
Post rhinoplasty care
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.
Most likely normal crusting after Rhinoplasty
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.
Scabs after rhinoplasty
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.