Nasal Spray After Rhinoplasty

The role of nasal spray after surgery is important. I would minimize the use of anything other than a saline nasal spray and occasionally one can use an Afrin type spray to use for decompression if one will be flying during the first 4-6 week post nasal surgery. Steroid nasal sprays should be avoided for 4-6 weeks especially if one has had any type of septal work done.

If my patient for Rhinoplasty Surgery has nasal obstruction before surgery, then I will usually address this during surgery. I may routinely perform septoplasty and turbinate reduction at the time of Rhinoplasty to improve the nasal airway. Most of my patients will not require any nasal sprays after Rhinoplasty, but if they're necessary, I would allow usage around 3 weeks after Rhinoplasty.

I hope this is helpful for you.

As other rhinoplasty surgeons have already mentioned, generally wait one month before resuming allergy nasal sprays. Allergy medication may no longer be required after rhinoplasty if deviated septum surgery, turbinate reduction, or sinus surgery was performed along with the rhinoplasty. Speak with your plastic surgeon, as each situation is unique.

I typically recommend to my patients to wait about three weeks after they have their septum operated on with their rhinoplasty before using flonase. Sometimes I will allow them to use it after two weeks if they are just having a rhinoplasty. The only real harm is that if you use it too soon it can cause more drying out of your healing nose and possibly lead to some nosebleeds. I hope this information helps.

Depending on the complexity of the procedure, previous surgeries, status of the lining of the nose, use of grafts, etc, I generally advise my patients to wait at least 3 weeks before resuming decongestants and nasal steroids.  However, this is not fixed in stone and I would discuss your unique situation with your surgeon.

Hi,

You can resume your intranasal allergy sprays such as fluticosone about 2 to 3 weeks after rhinoplasty.  Good luck, be well, and enjoy your new nose!

Dr. P 

3-4 weeks should be sufficient. It is best to use this only when your allergies are severe. Check with your doctor to find out if he removed part of the turbinate, in which case you may rarely need the spray.

It is acceptable to resume use of nasal sprays such as Flonase two weeks after the rhinoplasty procedure. If you have severe allergies, an over-the-counter antihistamine such as Claritin can be used the first two weeks after the rhinoplasty.

Nasal sprays can probably be restarted 3-4 weeks after rhinoplasty as long as the incisions internally ahve healed.  Speak with your doctor.

I think that now we the realm of treatment and I would leave this to your surgeon to determine.  Why not call the office to find out as each one of us has different protocols depending on the surgery, type of patient etc.