Cocaine After Nose Job, Could I have Done Damage?

Question

I had a rhynoplasty on January and after one month I got really drunk and did cocaine two nights. I have stopped doing it for real and won't do cocaine never again but I am worried if I will have a problem even if I don't do cocaine again.

Anil R. Shah, MD · Answer

Since cocaine is a vasoconstrictor it can severely damage your nose, especially after rhinoplasty.  The lining of the nose is quite fragile and inhaled substances such as cocaine can permanently damage the nose including creating a septal perforation and collapse your nose.  In my practice, we recommend patients are off cocaine for a period of 1 year prior to proceeding.

Sam Naficy, MD, FACS · Answer

It is unlikely that a 2 instances at a month post-op would cause major damage but if you have concerns you can have your surgeon examine the inside of your nose.

Thomas A. Lamperti, MD · Answer

Cocaine compromises the blood flow in the nose so you can do damage inside your nose. You should check in with your surgeon to make sure everything is healing properly.

Scott Trimas, MD · Answer

It is certainly very possible for you to have harmed the inside of your nose especially the septum and this could compromise your result. I would go back to your physician and have them check your result to be safe.

Richard W. Fleming, MD (retired) · Answer

Circulation is compromised secondary to cocaine which could damage tissue recovering from rhinoplasty surgery. Your surgeon will answer your question after examining your nose.

Francis R. Palmer, III, MD (retired) · Answer

You should have this discussion with your Rhinoplasty Surgeon along with an examination of the inside of the nose to rule out any damaged that may have been caused. The vasoconstrictive nature, of the drug, can cause healing issues with a Rhinoplasty and/or Septoplasty.

Cocaine After Nose Job, Could I have Done Damage?

Answers (6)

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