4 days post op Revision Rhinoplasty, my left nasal is still bleeding. Any suggestions?
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Doctor Answers 2
Bleeding after revision rhinoplasty
There are a number of potential sources of minor bleeding following rhinoplasty surgery. Sometimes there is light bleeding from an incision that has not been sutured properly, or has been accidentally traumatized, or has become dry, crusted or scabbed. Drying inside the nose may also cause injury to the delicate lining of the nasal septum, which has an extensive network of tiny blood vessels close to the surface. Less common factors include high blood pressure, use of anticoagulants, and other medical conditions. Try keeping your head above your heart, avoiding any strenuous activity and using saline spray or gel to moisturize your nose. In dry conditions, a humidifier can also prove helpful. Apply ointment to your incisions if instructed by your surgeon. A light cold compress and/or the judicious use of a topical decongestant such as Afrin can be used for temporary relief. By all means call your doctor and report the problem. They will want to hear from you and evaluate the problem. Best wishes.
Bleeding after Rhinoplasty
It is quite common to have an ooze from the nostrils for the first three odd days which may persist for nearly a week depending on the extent of the surgery and indeed the components of an individual surgery. It is useful to keep a sterile bolster bandage applied under the nose ... so as to avoid dabbing with tissues and introducing infection. There is not much concern so soon after the surgery especially a revision where blood vessels are less contractile. Stay on cooler drinks, don't bend your head down, avoid blowing the nose and do not exert in any way. Good Luck and Speedy recovery !