How to Fix a Runny Nose After Rhinoplasty?

A runny nose is not uncommon for several months after rhinoplasty surgery; however, it is uncommon for this condition to last several years.  While further surgery is unlikely to improve this problem, there are nasal sprays (i.e. Atropine) which may help. 

Ask if your surgeon or primary care doctor would be willing to write a prescription for you to try.

Dear rhinoplasty patient,
There are two scenarios here. Either you developed allergic rhinitis when you were teenager and continues to be symptomatic. Or you may suffer from vasomotor rhinitis or non-allergic rhinitis as result of changes to your nose after your rhinoplasty. Vasomotor rhinitis involves chronic sneezing or having a congested, drippy nose with no apparent cause. The symptoms of non-allergic rhinitis are similar to those of hay fever (allergic rhinitis), but there's no allergic reaction involved. Non-allergic rhinitis can affect children and adults, but is more common after teen years. You may want to consult with an ENT/Facial plastic surgeon for a thorough evaluation. Good luck. Dr. Kevin Sadati

Stuffiness, runny nose are all common after rhinoplasty in the first few months. a problem that has lasted this long is not due to initial surgery. Allergic or vasomotor rhinitis are the most common problems and easily managed. See your ENT specialist.

A runny nose is expected and normal immediately after rhinoplasty. Eventually, the runny nose or post nasal drip resolve over the next few weeks after the plastic surgery. Longer term nasal symptoms should be evaluated by a nasal allergy specialist, such as an otolaryngologist or allergist. Treatment may be as simple as saline nasal rinses or an antihistamine tablet. Additionally, reducing exposure to airborne irritants may help too. Only after a comprehensive evaluation can he/she help determine appropriate options for you.

Dr. Chaboki

 

Dear Runnynose,

I am sorry to hear that you are having such a problem with your nose.  You are correct that it is not uncommon to have a runny nose after surgery, but this usually resolves as it heals.  Sometimes however, the trauma of the surgery can cause a condition called vasomotor rhinitis.  This is a condition whose hallmark is clear watery discharge from the nose that is worse during eating or being in the cold.  If you have vasomotor rhinitis there is a nasal spray that can help dry up your problem and it is called ipatroprium bromide spray.  It is available by prescription and you should see a physician to be evaluated and to make sure that this is not a more serious issue such as a cerebrospinal fluid leak; which is very serious. 

I would see your doctor to have this evaluated further and to rule out any more serious conditions. 

Good luck. 

If your turbinates (which warm and humidify the air) were removed or greatly reduced at your last surgery, you can get a constant runny nose.  More common than that (besides allergies--I assume that you have been checked and tested) are: airway obstruction, which misdirects the airstream, dries the lining, and makes the nose run; and constant nose-blowing , which many patients have to do because their airways are small.

See an experienced surgeon who can evaluate your septum, valves, and turbinates.  Good luck.

I've performed Rhinoplasty for over 20 years and runny noses are not uncommon after Rhinoplasty for a few months. The runny nose is most likely due to the nasal mucosa reacting to incisions and surgical trauma. A runny nose that's lasted 7 years is not normal or typical and IMHO, should not be attributed to your Rhinoplasty. You may consider seeing an allergist or ear/nose/throat surgeon for nasal exam and workup.