What will I look like immediately after and for the rest of the day/evening after the rhinoplasty cast is removed?

I'm having open septo rhinoplasty on August 7th to correct a deviated septum, remove a dorsal hump and slightly enhance the tip, and I haven't planned to tell anyone that I'm having the op. I have a party to attend exactly a week later, what will I look like when people see me on the day of my cast removal? Also, what will I look like 4 weeks later when the new school term starts, will anyone be able to tell that I've had surgery?

Doctor Answers 3

Appearance 1 week after rhinoplasty

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Typically the day the cast comes off, the nose looks somewhat acceptable for public exposure.  There may be very fine indentations in the skin from where the tape was present, which usually resolves within a few hours.  There is some rebound swelling which may kick in by that evening, but depending on your skin type, it may not be that significant. You may have some redness of the incision, again depending on your skin type.  If there is bruising, it is in the yellow phase at this point and can be covered by makeup.  I have pictures in my office that I show potential patients of other patients the day they had their cast removed. It helps to relieve some of the anxiety of exactly what you are concerned about. Perhaps ask your surgeon if they have any such pictures so that you can be adequately prepared.  Your surgeon also may be able to give you an idea of what his/her patients look like that day.

Bethesda Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Appearance after a septorhinoplasty procedure the

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 Most patients have some degree bruising and swelling after the procedure which takes 10-14 days to subside. The amount of bruising and swelling is quite variable,  and unpredictable. You will still have visible bruising and swelling one week after the surgical procedure. At 4 weeks, and are certainly able to return to school without anybody having to detect that you had  nasal surgery. Anticipate at least a week or 2 of congestion and stuffiness after the septoplasty procedure. The open rhinoplasty procedure will leave an incision along the columella that may take several months to settle down, depending upon skin coloration. For many examples of close rhinoplasty and septoplasty, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

What will I look like immediately after and for the rest of the day/evening after the rhinoplasty cast is removed?

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     In a closed rhinoplasty with no alar base reduction, it may be difficult to tell that surgery has been performed after the splint is removed.  You really need to ask your surgeon, because he or she will have a better idea of how the nose will look at one week after an open approach with the maneuvers that will be utilized.

Kenneth Hughes, MD

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.