Blew blood clot out of nose after Rhinoplasty.

Question

I had a rhinoplasty this morning and i blew out my blood clot 8 hours after surgery. I dont have any bleeding left and i did it without too much force. I assumed that the clot was required to stop the bleeding, but since my bleeding became minimal, I thought it wasnt a big deal. I hope i didnt ruin my rhinoplasty. I go see my doctor in seven days. Should i be alarmed?

Jonathan Kulbersh, MD · Answer

First point -  You should not be blowing your nose 1 day after a rhinoplasty.  Depending on the extent of procedure, I suggest patients wait a few weeks before blowing the nose.  That being said, it is unlikely that you caused damage blowing you nose one time after surgery.  If you continue to blow you nose, you make affect the healing on the inside of the nose.  Since you can't blow your nose, I suggest using a Neti Pot irrigation with distilled water to get the mucous and clot out of the nose.  I would check with your doctor before using a Neti Pot.  It is normal to have blood clots come out of the nose after a rhinoplasty.  As long as you are not having copious bleeding, I would not worry about blood clot coming out of the nose.I hope this helps.

Sean R. Weiss, MD, FACS · Answer

The likelihood of you having disrupted the results of your procedure are minimal.  You likely have nothing to worry about.  You should call your surgeons office tomorrow during working hours and let them know about it for safe measure.

Steven Wallach, MD · Answer

I usually do not let patients blow their nose for about 3 weeks. I will often allow them to start gently cleaning the inside of their nose one week after surgery and only after showering when the nasal passage is moist and it is easier to remove mucous.  Best to ask your surgeon.

Remus Repta, MD · Answer

Some blood cots naturally form at the incision sites inside your nose after a rhinoplasty.  As you have said, it did not require much to have the clot come out.  Saline nasal spray may be helpful to clean out the inside of your nose but in general time and patience is the key. Touch base with your plastic surgeon at your follow up and have him/her take a look inside your nose or evaluate your nose to make sure all is well.All the best,Dr. Remus Repta

Michael T. Somenek, MD · Answer

It is not unusual to have some form of a blood clot in your nose after a rhinoplasty. Depending on the size of the blood clot, it will usually sit in the nose until it is cleaned out by your surgeon. Other times, if it is large enough it will come out of the nose, though this is less typical. I usually tell my patients to not blow their nose after surgery so as not to incite any bleeding or cause any manipulation of the surgical site. That being said, if you are no longer bleeding and there wasn't much force involved then it is unlikely that you caused any harm to the nose itself. If there are any additional concerns I would urge you to go to your surgeon earlier than seven days to get evaluated.

Blew blood clot out of nose after Rhinoplasty.

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