Should I pull out dried mucus attached to blood crust in my nose 1 week after rhinoplasty?

Question

Its been a week now that i had my closed rhinoplasty, i have a huge ball of dried mucus attached to blood crust in both of nostril i presume that its where the incisions are so im scared that by pulling them out my incision will re-open but i cant breath by my nostril and its really uncomfortable. Its so far in the nostril that im not able to properly put onguents with a q-tip to soften up.. what should i do ?

Philip Solomon, MD, FRCS · Answer

You're still within a delicate time frame.  I would suggest you seek the attention of your plastic surgeon to address this issue.  I recommend that my patients use a  saline spray 3-4 times a day, which may be of help.Best of luck,Dr. Philip Solomon, Solomon Facial Plastic

William Numa, MD, FACS · Answer

Allow your surgeon to address the issue. One week out from rhinoplasty surgery is too soon for patients to safely remove crusts, dried blood, etc on their own. Secretions such as these are normal after rhinoplasty and your surgeon should know exactly how to remove them without disturbing the surgical site.

John Michael Thomassen, MD · Answer

This dried mucus is usually removed by your surgeon 1 week after the procedure.  Just make a f/u appointment with your surgeon so he can clean this up.

Miguel Mascaro, MD · Answer

Congratulations on your surgery! To be honest, its a little too early to be aggressively cleaning the inside of your nose, as you can certainly disrupt the incisions, etc.  I would consult with your operating surgeon as the may be able to clean the nose for you (I like to clean the nose for my patients at day one and when the cast is removed, for example).  Otherwise they may have some tips such as nasal sprays or petroleum based ointment to aid in softening the crusting.  Best of luck with the rest of the healing process!

Mark Hamilton, MD · Answer

Thanks for your question. It really is too early to aggressively try to clean the inside of your nose or to blow your nose. Doing so may disrupt your incisions. Most surgeons are ok with doing light saline mists at this point which over time can help these crusts break up. Your surgeon may also be comfortable suctioning the nose in the office. I would recommend consulting with your surgeon to discuss a plan of action.

Darryl J. Blinski, MD · Answer

Best to return to see your rhinoplasty surgeon TODAY! If packing in after one week than you need in person re evaluation to see what is the issue. Also cleaning the nostrils should be only done in office, not at home.

Should I pull out dried mucus attached to blood crust in my nose 1 week after rhinoplasty?

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