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Is the Swelling Expected to Fluctuate After Nose Surgery?

I broke my nose and had the septum re-aligned and the bone "popped" back into place. I went back for my checkup 10 days after and the doctor seemed surprised at the amount of swelling. The swelling went down a little each day for 4-5 days after that visit but when I wokeup this morning it seemed as swollen as ever. Are these fluctuations in swelling normal?

Asked 41 months ago by TheNOSEman in Houston,Texas
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+5

Yes, fluctuations and swelling after nasal reconstruction are expected

The nose is extremely prone to edema (soft tissue swelling) after nasal surgery. Many reasons for this tendency exist. The most common reason for swelling in the morning after facial surgery is due to changing from an upright position during the day to a horizontal position during sleep. This causes significant congestion of fluid, which is worst in areas that have been recently injured or operated upon. Simply sleeping with the head, neck and shoulders elevated above the heart can... more
Kriston Kent, MD
Naples Facial Plastic Surgeon
+2

Swelling in the nose after rhinoplasty can fluctuate.

After rhinoplasty, the vast majority of the swelling, perhaps 70-80% resolves over the first 7-10 days. At this point, the nose is usually quite passable and patients can return to work or social situations. The remainder of the swelling gradually dissipates over the course of 12-18 months, as the nose becomes increasingly refined.  You may have days, in particular in the morning, during which your nose appears slightly more swollen. I have found that a number of factors can... more
Umang Mehta, MD
Bay Area Facial Plastic Surgeon
+2

Swelling Fluctuations After Nasal Surgery

It is normal to see fluctuations in swelling for weeks to months after nasal surgery.  There are many factors that play a role: activity, temperature, humidity, allergens, pollutants, position, other metabolic parameters, and many we never identify.
Paul C. Zwiebel, MD
Denver Plastic Surgeon
+2

Swelling after Rhinoplasty

Swelling and fluctuations in that swelling are common 2 weeks after surgery. This can be influenced by activity and position. Avoid strenuous activity for another couple weeks. Use 2 pillows under you head when sleeping; drainage of fluid causing that swelling will be more efficient.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty and swelling fluctuations

It is common to have swelling fluctuations in the post operative rhinoplasty phase especially during the first few weeks. I would suggest keeping a low sodium diet, sleep with your head elevated with a few pillows behind your back, avoid smoking, alcohol and excessive heat when possible. This should help with the edema (soft tissue swelling) and as the recovery process moves forward you should start seeing less fluctuations in the swelling. Best regards!
Michael Elam, MD
Orange County Facial Plastic Surgeon
+1

Swelling can cycle after rhinoplasty surgery

Swelling can get better and worse after rhinoplasty surgery.  i do not know what kind of dressings, etc you had after surgery.  I place a nasal dressing, and splint on all nasal surgery patients.  I fimnd that patients look pretty good on post-op day 1 and hit their max swelling on post-op day 2.  After that their swelling seems to slowly subside.  However, I take the splint off on Post-op day 5.  When the splint comes off, I frequently notice that patients... more
Raghu Athre, MD
Houston Facial Plastic Surgeon
+1

Postoperative Swelling After A Rhinoplasty

Swelling is common after a rhinoplasty and can fluctuate.  Their are several ways to minimize fluctuations and improve swelling faster.  Some of these are as follows: Avoid salty food Taping nose at night- Nose tends to swell at night and taping at night can help decrease morning swelling Avoiding the sun
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

Post-operative swelling fluctuation normal

Although most patients will find that their postoperative swelling gradual improves after surgery it is not uncommon to experience some fluctuation.  In my experience some things that can lead to an increase in swelling during the recovery phase are: sleeping in a non-elevated position or with the nose in a dependent position (i.e., aimed down) an increase in general activity or exercising (anything leading to an increase in blood pressure will cause the nose to... more
Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon
+1

Recovery process after nasal bone adjustment

Rhinoplasty is a popular and effective surgery to recontour the shape of your nose. Patients undergoing a rhinoplasty should understand recovery process. Immediately after the surgery, you may experience some swelling throughout your nose. This swelling may fluctuate after your nasal surgery.Discuss your concerns with your surgeon as they may recommend that you continue to use a cold compress to this area, elevate the head, and continue to wait for the swelling to subside.  ... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Swelling after nose surgeryif

  The swelling you describe is normal, but it would worry me that you may have an infection with the sudden swelling after 4 days. I would have your physician look up your nose to make sure that all is well. Fluctuations in swelling are common but one should not assume that its all OK unless you are examined. Good Luck 
Carlos Wolf, MD
Miami Facial Plastic Surgeon
+1

Swelling post nasal reduction

Everyone responds differently to surgery.  Swelling of the nose after a nasal reduction, is very common and can last several weeks if not months. The majority of the swelling will dissipate after a few weeks but there will be some swelling that may persist for months.
Steven Wallach, MD
Manhattan Plastic Surgeon
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