When Using Cartilage for Rhinoplasty, Will It Move if I Wear Glasses All Day, Everyday?

My prescription is very complicated as well, so there is no possibility of getting contacts. However, I would rather use cartilage because I would rather not have the risks of using foreign implants. But i am extremely worried that the cartilage will shift over time.

Doctor Answers 9

Wearing glasses all day every day after a Rhinoplasty with grafts, good idea or bad?

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 I have performed Rhinoplasty for over 20 years and if you explained to me your requirement to wear glasses all day, every day after a Rhinoplasty, whether grafts or implants were to be used on the bridge of your nose or not, I would decline to do your Rhinoplasty

 Glasses are, IMHO, the single most common cause of ruining the look of the nose after a Rhinoplasty and I instruct all of my Rhinoplasty patients not to wear them for at least 6 months post op.  Glasses place uneven pressure points, on a newly healing nose, after a Rhinoplasty and as such create indentations and hump formation.  This pressure would likely add to any possibility of graft or implant shift that the glasses rested upon.

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Rhinoplasty & Eyeglasses

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A properly placed secured dorsal cartilage graft for augmentation will not shift over time nor will it atrophy due to the wearing of eyeglasses. One should note, I don’t usually allow patients to wear eyeglasses for the first 4 weeks after surgery.

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Cartilage grafts should not shift after nasal surgery

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Cartilage grafts usually do not shift, move, or migrate after nasal surgery.  Patients are able to wear eyeglasses placed on top of the nasal cast during the first week after surgery and should be very careful when the cast is removed.  After 2-3 weeks the grafts will not shift, move, or migrate due to wearing glasses.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

After Rhinoplasty: No glasses for 6-8 weeks

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Restrictions after nasal surgery are related both to grafts that are placed along the bridge, as well as whether or not the nasal bones were broken during the procedure. Most cartilage grafts placed in the bridge have healed solid in about 4 weeks. However, bones take about 6-8 weeks to heal after being broken. So keep that in mind.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 23 reviews

Will glasses resting on my nose change my nose shape after rhinoplasty

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After I place cartilage graft on the dorsum of the nose where glasses sit I don't allow patients to wear their glasses for several weeks. I discuss this with preop to let the know this possibility.

Shifting implants

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Cartilage is a good choice to perform augmentation rhinoplasty. A solid piece should stay put but, morselized pieces may be better. There is also nothing wrong with most allografts.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Wearing Glasses after Cartilage Grafts During Rhinoplasty

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I feel it is best to have cartilage grafts rather than an implant in patients who wear glasses. The patient's own tissue will become incorporated into the surrounding tissue over 6-8 weeks after surgery. With persistent pressure an implant can mobilize, which is always a possibility even without glasses resting on the nose.

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

Can I wear glasses after rhinoplasty?

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Dear changaroo,

I recommend that glasses not rest on the nose for a total of six weeks after surgery. During this period the options are 1) no glasses )including sun glasses, 2) "frame-ups" that allow glasses to rest on the cheeks or 3) taping the glasses to the mid-forehead.  Glass frame styles that place even pressure along the frame are better that glasses that direct the pressure to a single point. I don't think glasses are a contraindication to rhinoplasty and in some cases the glasses fit better and more comfortably after rhinoplasty.

Good luck

Tom Kaniff

Thomas E. Kaniff, MD, FACS
Sacramento Facial Plastic Surgeon
4.7 out of 5 stars 25 reviews

Glasses after rhinoplasty

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There are options such as "frame ups"which hold the glasses off your nose or taping them to your forehead. You can also have your surgeon show you how to tape a pad (telfa and paper tape) over the bridge to cushion the area. In general though I think the risk of problems is low after 3-4 weeks especially if your surgeon uses a good fixation technique for any grafts.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

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.