Following Rhinoplasty, what position should you sleep in? Also, if you wind up on your back or side during the night, will that affect the development of your nose adversely and alter the results if even slightly?
Answer: Increasing comfort after rhinoplasty While keeping the head higher than your heart for the first few days post-op will probably minimize swelling, I also recommend it for comfort. When the nose is congested--as it will be after surgery--lying flat can sometimes make patients feel as if they're smothering. It's doubtful that lying flat would cause any truly lasting harm, though. So if a patient is adamant about lying flat, I'd rather they get their sleep and rest than be up all night in an uncomfortable position. I do caution them against lying on their side in a way that smooshes their cheek and face, since that could potentially shift repositioned nasal bones. I can't say that I've ever seen a bad result that was merely due to patient sleeping position, but it's prudent to minimize the chance. All the best, --DCP
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CONTACT NOW Answer: Increasing comfort after rhinoplasty While keeping the head higher than your heart for the first few days post-op will probably minimize swelling, I also recommend it for comfort. When the nose is congested--as it will be after surgery--lying flat can sometimes make patients feel as if they're smothering. It's doubtful that lying flat would cause any truly lasting harm, though. So if a patient is adamant about lying flat, I'd rather they get their sleep and rest than be up all night in an uncomfortable position. I do caution them against lying on their side in a way that smooshes their cheek and face, since that could potentially shift repositioned nasal bones. I can't say that I've ever seen a bad result that was merely due to patient sleeping position, but it's prudent to minimize the chance. All the best, --DCP
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CONTACT NOW Answer: Sleeping position after rhinoplasty Hello and thank you for your question. I advise my patients to sleep with two or three pillows under their head and try to sleep on their back for the first week. Afterwards you are free to sleep on your side. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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CONTACT NOW Answer: Sleeping position after rhinoplasty Hello and thank you for your question. I advise my patients to sleep with two or three pillows under their head and try to sleep on their back for the first week. Afterwards you are free to sleep on your side. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon
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October 7, 2021
Answer: Sleeping position after rhinoplasty Postop instructions vary by surgeon, but in my practice, I provide detailed descriptions about how patients should sleep after surgery. I would expect that your own surgeon will do the same. There are some principles, however, that should be abided by, such as trying to elevate the surgical site *somewhat.* I recommend my patients sleep on their backs, with their heads elevated by pillows to about 30 degrees. This helps to facilitate drainage and decrease swelling. You should absolutely avoid sleeping on your face immediately after surgery, and for as long as possible postoperatively to help combat swelling. What I never instruct patients to do is to sleep in chairs! Why? Because what happens when people fall asleep while sitting up? The head tips forward, and the swelling and pressure will then build up in the front of the face and the nose. Wishing you a speedy healing process!
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Answer: Sleeping position after rhinoplasty Postop instructions vary by surgeon, but in my practice, I provide detailed descriptions about how patients should sleep after surgery. I would expect that your own surgeon will do the same. There are some principles, however, that should be abided by, such as trying to elevate the surgical site *somewhat.* I recommend my patients sleep on their backs, with their heads elevated by pillows to about 30 degrees. This helps to facilitate drainage and decrease swelling. You should absolutely avoid sleeping on your face immediately after surgery, and for as long as possible postoperatively to help combat swelling. What I never instruct patients to do is to sleep in chairs! Why? Because what happens when people fall asleep while sitting up? The head tips forward, and the swelling and pressure will then build up in the front of the face and the nose. Wishing you a speedy healing process!
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May 20, 2021
Answer: Sleeping position after rhinoplasty: What you need to know Thank you for your question. I recommend that my rhinoplasty patients sleep in their backs with their heads elevated for the first few weeks after surgery. Elevation helps to alleviate the post-surgery swelling that is common after nose surgery, while sleeping on the back prevents undue pressure on the nose that could impact your outcome. You will likely only need to elevate your head for a couple of weeks, but I usually advise patients to maintain the back sleeping position for up to six weeks to give the nose ample time to heal. Also, make sure you are working with a very experienced, knowledgeable, board-certified facial plastic surgeon to ensure the best possible outcome from your procedure.
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Answer: Sleeping position after rhinoplasty: What you need to know Thank you for your question. I recommend that my rhinoplasty patients sleep in their backs with their heads elevated for the first few weeks after surgery. Elevation helps to alleviate the post-surgery swelling that is common after nose surgery, while sleeping on the back prevents undue pressure on the nose that could impact your outcome. You will likely only need to elevate your head for a couple of weeks, but I usually advise patients to maintain the back sleeping position for up to six weeks to give the nose ample time to heal. Also, make sure you are working with a very experienced, knowledgeable, board-certified facial plastic surgeon to ensure the best possible outcome from your procedure.
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October 27, 2020
Answer: On your back with a few pillows behind your head In lots of rhinoplasties, we do osteotomies, which means we break the nasal bones in a controlled fashion to change their shape, width, etc. We also often change the cartilage of the middle or lower part of the nose. This takes easily 6 weeks to heal. Therefore, I advise all of my patients to sleep on their backs during this time. If you sleep face down you could most certainly affect the outcome of your nose, and if you sleep on your side and inadvertently put pressure on the nose the same problem could occur. You've gone through the operation already, so the best thing to do is make sure you're healed before you put your outcome in jeopardy. Otherwise you may need to get a revision down the road and start the process all over again! -David Mattos, Harvard-trained plastic surgeon
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CONTACT NOW October 27, 2020
Answer: On your back with a few pillows behind your head In lots of rhinoplasties, we do osteotomies, which means we break the nasal bones in a controlled fashion to change their shape, width, etc. We also often change the cartilage of the middle or lower part of the nose. This takes easily 6 weeks to heal. Therefore, I advise all of my patients to sleep on their backs during this time. If you sleep face down you could most certainly affect the outcome of your nose, and if you sleep on your side and inadvertently put pressure on the nose the same problem could occur. You've gone through the operation already, so the best thing to do is make sure you're healed before you put your outcome in jeopardy. Otherwise you may need to get a revision down the road and start the process all over again! -David Mattos, Harvard-trained plastic surgeon
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January 14, 2020
Answer: Sleeping position post Rhinoplasty Depending on surgery techniques different surgeons may recommend different positions, it is always best to seek the advice of your treating doctor. While awake, keep your head upright, or if reclining do not lie flat. And general guidelines for sleeping after rhinoplasty are: In the early recovery period it is beneficial to sleep on your back, with your head elevated on a pillow for at least two weeks to avoid lying on the side or front of your nose, (which would put pressure on and deform the operated area). To minimize swelling and for increased comfort it is recommended to sleep with the head elevated on two pillows for the first 3-4 days after surgery until swelling starts resolving.
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CONTACT NOW January 14, 2020
Answer: Sleeping position post Rhinoplasty Depending on surgery techniques different surgeons may recommend different positions, it is always best to seek the advice of your treating doctor. While awake, keep your head upright, or if reclining do not lie flat. And general guidelines for sleeping after rhinoplasty are: In the early recovery period it is beneficial to sleep on your back, with your head elevated on a pillow for at least two weeks to avoid lying on the side or front of your nose, (which would put pressure on and deform the operated area). To minimize swelling and for increased comfort it is recommended to sleep with the head elevated on two pillows for the first 3-4 days after surgery until swelling starts resolving.
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