Closed rhinoplasty swelling. Other than arnica cream, is there anything I can do to reduce it? (Photo)
Doctor Answers 4
Swelling after surgery
It is absolutely normal to have some swelling at that point-. Try to be patient. Arnica and Caléndula oinments work well. However if some swelling persists after 45 days localized injections of Kenacort work well.
Thank you for your question and photographs.
It is important to consult with your surgeon about any questions or concerns you may have so they can give you a physical examination. You are extremely early in your recovery period and your nose will begin healing and changing, this will continue over the course of a year to year and a half. Swelling can cause the appearance of unevenness or enlargement. It takes 6 months for 90% of the swelling to resolve after a rhinoplasty. During this waiting period, several treatment options can reduce the swelling. First, post-operative taping is imperative to decrease swelling and mold the shape of the nose. This can be performed for a minimum of 2 weeks with recommendations commonly for 3 months. Second, a short course of oral steroids (Medrol dose pack) can be beneficial in the early stages to decrease swelling and pain. Third, I commonly use a dilute solution of Kenalog with Marcaine to decrease swelling of the nasal tip. If after 12-18 months, you are still unhappy with your results, I would contact your surgeon or a board certified plastic surgeon for a revision.
Best of luck in your recovery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science
Swelling after rhinoplasty
Thanks for your question. I think you have a good early result! Really, for tip edema there's not a lot you can do to hasten improvement. With a closed approach, you'll get rid of edema sooner than an open approach for sure, but it's still going to take a bit of time. I would sleep with your head elevated and try to avoid salty foods. Give it some time! I think you're going to be very pleased.
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