Septo-rhinoplasty packing not being removed until Day 7... is this normal as it is unbearably uncomfortable?

Question

So I had a Septo/rhinoplasty on Saturday night (48 hours ago). Recovery is going well. The issue is the packing. Silicone Tampons were used and the plastic is really starting to cut into my nostrils. My doctor says he will take them out alongside the cast at 7 days but i am also conscious that the medical practice is short staffed so am wondering if that is their motivation. Does it sound right to have packing kept in the nose for 7 days?

Lydia Badia, MD · Answer

It is not necessary to have tampons inside the nostrils after septo/rhinoplasty surgery. The silicone sheets can help the healing by preventing adhesions and scar tissue. If you are in discomfort and they are cutting into your nostrils, you should be seen by your surgeon. If they are properly placed, it is quite normal to keep them in place for a week.

Greg Bran, MD, PhD · Answer

Hi there and thank you for your question. Silicone sheaths (also called internal splints) serve the function to avoid any hematoma formation inside your septum by pushing your mucosa gently against your septal cartilage. In many cases, our septum is either deviated, or has spurs that need to be straightened in order to improve nasal breathing. We also use parts of the septal cartilage (especially in primary rhinoplasties) as grafting material. Depending on the amount of septal work that was required (in order to harvest septal cartilage for grafting or to straighten your septum) the internal splints need to stay in your nose for bit longer. 7 days is an average time span that many surgeons suggest. Try to use some ointment to soften the irritated mucosa (e. Aquaphor Repair). You might also consider calling your surgeons office for their suggestion. Good luck, hang in there!
Kind regards, 
GB

Septo-rhinoplasty packing not being removed until Day 7... is this normal as it is unbearably uncomfortable?

Answers (2)

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Septo-rhinoplasty packing not being removed until Day 7... is this normal as it is unbearably uncomfortable?

Answers (2)

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.