No Splint with Septorhinoplasty - Will It Hurt Results?

I had a septorhinoplasty 5 days ago. I've only got some steri strips on the bridge of my nose. I've read that a splint is essential. Why have they not used a splint please?. I'm worried it won't turn out well now. A closed technique was used, only minimal straightening on the bridge, tip was not touched. It was mainly to correct the deviated septum. Also one nostril is really big compared to the other. Any advice appreciated. Thanks.

Doctor Answers 10

Splint needed only if nasal bones are broken

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A splint is not required for a septoplasty. A splint is also not required for a rhinoplasty unless the nasal bones were broken. The only time a splint is required is when the osteotomies are performed and the nose bones are narrowed. Otherwise, a splint is not required. Nostril asymmetry is impossible to ascertain at this point since the nose is still only five days out from your surgery and full healing will take approximately one year.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

No Splint after Rhinoplasty

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Most surgeons will place a splint when the nasal bones are repositioned. I will always use a splint for 6 days unless it is a minor procedure. Having said that, you will do fine as long as you are very careful to avoid all nasal pressure and trauma.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty splint

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A splint is primarily to make sure the bones "set" and heal properly. If he did not break the bones and only did "minor" alterations, it is perfectly normal not to have a splint and it should not interfere with giving you an excellent result! 

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.5 out of 5 stars 28 reviews

No splint with septorhinoplasty

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If no fracture to the nasal bones was preformed than it is acceptable to use no splint. But I tend to be conservative and ALWAYS apply a splint. But that is just me.

From MIAMI Dr. B

Nose Job WITHOUT a Splint

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When we break the nose (to straighten a nose or bring down a large hump) most Nose surgeons would use a splint. This is done to protect the bones and to reduce swelling. But according to your own statement : there was "only minimal straightening on the bridge". Such correction may not have required placement of a splint.

As regards inside the nose, there used to be a time when most septal operations were followed by stitching stiff splints on either side of the septum and or place nasal packs. These days many surgeons simply run s through and through quilting stitch across the septum which keeps the opposite linings together preventing fluid accumulation without the need for splints in most such cases.

Finally, why not ask your surgeon? After all you trusted him with your nose, I am sure he would be glad to explain to you why a splint was not used.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Splinting after septal work

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A dorsal nasal splint is not necessary ina ll cases especialy if just a septum was treated.  No worries, just follow your doctor's advice about the psot-op care.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Splinting after septoplasty is not needed if the bones are not broken.

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When the nasal bones are broken most surgeons splint the bones so they don't move. If the bones are not broken you do not have to use a splint.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

To Splint or Not to Splint After Septoplasty?

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Not to worry.  Many times splints are not used after Septoplasty.  Splints are used after surgical changes to the upper 2/3 of the nose (the nasal bones and upper nasal cartilages).  It is too early after your surgery to evaluate asymmetry of the nostrils.

 Speak with your surgeon about your concerns.  Hope that you heal rapidly and well. 

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Not all surgeons use splints after Rhinoplasty Surgery.

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If osteotomies are performed during Rhinoplasty Surgery, I will routinely place a splint. I have heard prominent surgeons state that nasal splinting is not necessary. It's probably not necessary, but it certainly adds a layer of protection to your nose for the first week after surgery. The taping is the most critical part of your dressing, and that should remain in place till your surgeon removes it.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Ask your surgeon

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It may be that no fracture was done and therefore you didn't need the external splint.  Some plastic surgeons pack the nose while others use internal splints.  Without more info I can't give you the right answer so I would call your doctor or discuss it when you go in for a follow up in the next few days.

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.