Cleaning Nose with Cotton Swab After Rhinoplasty

The q tip routine will not cause extra swelling, that is clear.

I often have patients use ointment in the nose for about a month post op, since even after the stitches dissolve there can be some persistent crusting.  I would stay away from other treatments, however, since products like hydrogen peroxide can break down the lining with prolonged use.  Saline or water are fine.  A dry q tip is more likely to abrade the lining, so I would suggest some ointment or cream.  Also be gentle with your q tip.  Don't vigorously plunge in and out, or aggressively scrub, or lift the nostril rim with your manipulations.

It’s not uncommon to develop crusting and scabbing following nasal surgery.  This is especially common when rhinoplasty surgery is performed in combination with septoplasty and the use of nasal splints.  This crusting can result in nasal airway obstruction and post-operative discomfort.  For these reasons, it’s not unusual for patients to express concern about this problem.
            In an effort to minimize crusting and scabbing, plastic surgeons frequently recommend nasal saline rinses or hydrogen peroxide rinses.  Vaseline can be used to soften scabs and occasionally scabs can be removed with Q-tips and instrumentation.

            If this issue represents a major problem for you, then consultation with your plastic surgeon will prove helpful.  Your surgeon will be able to recommend a treatment plan that will address this problem.   

You can safely use peroxide on a Q-tip to cleanse mucous from your nose after nose job surgery. I ask my patients to go into the nostril to the end of the cotton tip, and twirl the Q-tip. If straight peroxide stings, dilute with equal parts of water. You won't cause any damage.

I hope this is helpful.

IT really depends on how forceful you are and what was done during the rhinoplasty. Some people are able to forcibly stretch and alter the shape of their nostrils with consistent pressure. However, I doubt that you could achieve this with gentle swabbing of the nose.

Good question. I typically have my patients just use saline nasal spray inside the nose gently starting a week out from surgery. If there are any scabs that need to come off around the columellar incisions, I use hydrogen peroxide and a cotton swab carefully. As long as you're being careful and not pushing on anything hard, it should not affect your final outcome and should not worsen any swelling. Just continue to be gentle with it!
-Dr. David Mattos, New York Plastic Surgical Group

It is ALWAYS best to allow things to heal without "help". With nose surgery, the internal incisions are closed with a few dissolving stitches to allow blood and inflammatory fluid to drip out preventing tip swelling. Although we tell out patients they can GENTLY rotate a Q-tip dipped in water and peroxide to clean the inside of the nose,some people go to great lengths to clean everything and that is where trouble can start.  I personally prefer to have them do nothing for a few days. This prevents an accidental opening of a sealed incision. The best correction of a surgical complication does not match one that never happened.

As long as you are gentle, cleaning your nose with a q-tip 6 weeks after rhinoplasty will do no harm, but why? Although my patients do sometimes use oinment on a q-tip immediately after surgery to soften crusts that form along incision lines, this is rarely needed at 6 weeks.. It is best to to allow the nose to heal without constant manipulation, which can be counter-productive.