What are the most effective supplements or things to do to reduce long term swelling in thick skin patients?

Question

What have you seen actually work on patients to reduce the selling especially on the tip?

Semih Yildiz, MD, FEBOPRAS · Answer

No supplement has strong evidence for meaningfully reducing long-term tip swelling after rhinoplasty. Thick skin commonly retains edema and scar firmness for 12 to 18 months or longer. Arnica, bromelain, and similar products have inconsistent evidence and may interact with medications or affect bleeding, so use them only if the treating surgeon approves. Diuretics are not an appropriate routine solution.

The useful measures are regular follow-up, head elevation early in recovery, avoiding nicotine, limiting excess salt and alcohol, gradual activity, and taping or massage only when specifically instructed. For selected persistent supratip edema or scar tissue, the surgeon may consider a carefully dosed steroid injection, but incorrect use can cause skin thinning or contour problems. Sudden swelling, redness, increasing pain, drainage, or breathing difficulty warrants prompt review.

Eric M. Joseph, MD · Answer

If patients have active acne, or very thick oily nasal tip skin, treating the underlying skin condition before rhinoplasty is the best way to improve healing, and to minimize swelling in the nasal tip postoperatively. Thank you for this question, and I hope it helps. Sincerely, Dr Joseph

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. tapping is important, considering cortisone inj. during f-u if needed

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question, there is no intervention to be made for thick skin, it may take 1.5 years for the nose to take its full shape after surgery, and in some patients it may take up to 2 years, you should be patient for this.
It would be better face to face consultation.
Best Regards!

Gary M. Horndeski, MD · Answer

The most important thing to do to reduce swelling after rhinoplasty is to sleep in the upright position or as vertically as possible for as many days as possible. The helps re-establish venous drainage and lymphatic drainage.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Gerald Minniti, MD, FACS · Answer

If you want to reduce swelling after a rhinoplasty, you want a surgeon with meticulous technique who doesn't violate the soft tissues between the cartilage/bone and the skin above. This limits bleeding post operatively and has the most profound effect on swelling. Arnica, bromelain, and the like fail to show superiority over placebo.

William Portuese, MD · Answer

When patients have thick skin, a low salt diet will help, along with steroid shots placed in the nasal tip in the first several months after the procedure. Close follow up with your surgeon is important, because for patients who have thick skin, they have more swelling, and the steroid shots then become just as important as the surgery itself to keep the nose in balance.

Ronald J. Edelson, MD · Answer

The most effective thing is to tape the nose especially at night. There are many you tube videos in line that show how to do it

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Arnica and bromelian for the first two weeks can help with bruising and swelling, although certainly not perfect. The final results take at least 1.5 years for the swelling to fully resolve. This can require lots of patience and waiting. Steroid injections performed by your surgeon can be extremely helpful. I usually start steroid injections around 1 to 2 months after surgery and continue as needed. With that being said, the final outcome will really depend on the surgical techniques that your surgeon used during your surgery. I recommend that you maintain close follow up with your surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

What are the most effective supplements or things to do to reduce long term swelling in thick skin patients?

Answers (9)

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