Is Nasal Congestion Post-rhinoplasty Common?

I had a rhinoplasty 2 years ago. Since the surgery, I have one nasal cavity that remains overly dry/scabbed and is prone to bleeding. I am also congested more often than not, and this was not a common issue prior to the rhinoplasty. Are these common tradeoffs for the surgery?

Doctor Answers 11

Bleeding and Congestion 2 years after Rhinoplasty

   An internal nasal exam performed by your surgeon should be able to determine if there is an anatomic cause for either of these symptoms.  If there is not, he or she should be able to offer some medical treatments.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 336 reviews

435 North Roxbury Drive
Beverly Hills, CA 90210

Post Rhinoplasty Congestion

Though what you are describing is common, I would recommend that you should visit an expert otolaryngologist (ENT) for the internal bleeding. It may also be a good idea to begin irrigating with saline.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 5 reviews

9401 Wilshire Blvd
Beverly Hills, CA 90212

Should not have nasal congestion after rhinoplasty.


Go see a good ear, nose, and throat doctor for a full evaluation.  What you are describing is not normal and can probably be corrected.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

875 Park Ave at 78th Street
New York, NY 10075

Nasal Congestion After Rhinoplasty #nosejob

It is common early on after surgery however two years out it is very uncommon to have continued problems that would be related to your surgery. I would see your initial surgeon for an evaluation and you may even need an ENT surgeon to perform a more thorough evaluation. If your cosmetic surgeon was an ENT then they can evaluate for you.

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 24 reviews

11000 N Scottsdale Rd.
Scottsdale, AZ 85254

Congestion after rhinoplasty

The bleeding in your nose and crusting is probably due to a raw area which has not completely healed.  You can use some antibacterial ointment with a Q-tip to promote healing.  Check with your doctor.

With your congestion it could just be excessive mucous which should subside.  If not, I would be concerned with some sinus issues.  Check with your MD

Talmage Raine MD FACS

Talmage J. Raine, MD, FACS
Champaign Plastic Surgeon
4.5 out of 5 stars 8 reviews

1405 W Park Street
Urbana, IL 61801

Nasal bleeding after rhinoplastry

It is common to have some congestion and an increased propensity to nasal bleeding after rhinoplasty.  That being said, at two years most of these changes should subside.  I would recommend a follow up visit to your plastic surgeon to perform a detailed examination of the inside of your nose to make sure that these things on one side of your nose only are not the result of a fixable surgical problem.  Good luck.

Sacha Obaid, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 41 reviews

415 E. Southlake Blvd.
Southlake, TX 76092

Nasal congestion following rhinoplasty

Following rhinoplasty, nasal congestion is temporary and due to swelling. It usually starts to improve 2 weeks after surgery, and can take a bit longer depending on the patient. Issues 2 years after surgery are not due to your initial surgery, and an evaluation would be necessary to determine their cause and learn about potential treatment options. I hope this helps, and I wish you the best of luck. 

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 37 reviews

120 South Spalding Drive
Beverly Hills, CA 90212

Nasal congestion two years after rhinoplasty

Initially I would say yes, that the nose may be more congested, but at two years I would say No, nad you probably need to be evaluated.  Good luck!

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Congestion Post Rhinoplasty

Elizabeth, this is not real common following rhinoplasty surgery. I would recommend getting another evaluation to see what might be the source for your ongoing complaints. 

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 24 reviews

3720 Fourth Avenue
San Diego, CA 92103

Is Nasal Congestion Post-rhinoplasty Common?

 I have performed Rhinoplasty for over 25 years and while post-Rhinoplasty swelling can cause temporary nasal obstruction from the surgical trauma, this should not last beyond a few months IMHO.  If you have not developed nasal allergies, I'd suggest having the inside of your nose examined to rule out a bent septum or enlarged Inferior Turbinate as the cause of your unilateral nasal obstruction which is not a typical post Rhinoplasty effect at 2 years post-op.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

8500 Wilshire Blvd
Beverly Hills, CA 90211

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.