Preparation for rhinoplasty & can I do lower body exercises after a week?

Question

I am a sensitive skin individual and healthy in all regards. take only vitamin D supplement. What foods should I incorporate in my diet to minimize bruising and swelling post surgery. would bromelain , turmeric supplements help if I start taking them 3-4 weeks before my surgery?

Caner Kacmaz, MD · Answer

Thank you for your question. You can take light walks the day after your surgery. Jogging is allowed one week after the surgery and vigorous exercise can start 4 weeks after. We don't recommend you take blood thinning medication such as aspirin 10 days before and after your operation. Herbal tea is also not recommended because it thins your blood which may result in bleeding. Best wishes

Ahmet Alp, MD · Answer

Of course, supplements will help. However, the method your doctor chooses during the surgery will affect the level of your bruising. For example, if the ultrasonic piezo instrument is used, there will be almost no bruising on your face.

Daniel Barrett, MD · Answer

Dear sweet_lavendar,
I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

George Bitar, MD · Answer

There has been significant research looking at how to decrease bruising and swelling during rhinoplasty.  Most of them have been intraoperative factors such as lifting the head of bed 20 degrees and using corticosteroids during the operation.  A newer medication, tranexamic acid, has shown significant improvement in bruising as well.  For supplements, arnica and bromelain can help with the bruising and swelling.  They are generally taken starting 1 week before surgery and extended to 1 week afterwards.  I would caution against using turmeric, garlic, ginger, vitamin E, or omega 3 supplements because they can increase the risk of bleeding.  They should be held 2 weeks before surgery and at least 1 week afterwards.  Exercise can also contribute to swelling and bruising if performed too early.  I would ask your plastic surgeon about their restrictions but would generally recommend waiting at least 1 month before strenuous activity.

William Portuese, MD · Answer

In our practice, it's very important not to take aspirin, ibuprofen and blood thinners. We ask patients refrain from all herbal supplements two weeks before and two weeks after surgery. Also important not to work out for two weeks after the surgery to prevent a nosebleed situation

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! There are things you can do to prepare for your rhinoplasty. I advise my patients to avoid any herbals which may cause bleeding. You can take bromelain or arnica which can assist with bruising reduction. Eating healthy with plenty of lean proteins and hydration prepares your body to heal well. Avoiding smoking is a must before and after. After your procedure, keeping your salt in your diet low is key. Avoiding heat which may cause swelling is best. Lower body exercises which cause increases in blood pressure or straining should be avoided for a minimum of 3-4 weeks post-surgery. Hope this helps.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
Regulation of dietary supplements does not include testing to ensure safety before being sold. The FDA "assumes" them to be safe unless shown otherwise. Over 23000 emergency room visits every year are attributed to the use of dietary supplements! I recommend a preoperative well balanced diet of foods you enjoy.
We do not recommend any form of exercise one week after your procedure. It may result in an elevation of your blood pressure which may lead to excessive nasal bleeding. We recommend postponing exercise for at least 4-6 weeks.
As every plastic surgeon has their own individualized pre- and postoperative rhinoplasty protocol, I recommend you speak directly with your surgeon for postoperative care advice.
Best wishes...

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