Should I Get my Cast Wet the Day Before Removal So There is Less Pain?

I have read in a few reviews of people being advised to take a shower before getting the cast off because it's easier. Also, does anyone have an recommendations for a topical cream to treat the hot itchy skin underneath my chin implant bandage? Thanks in advance for any help you can give me!

Doctor Answers 5

Cast removal after rhinoplasty

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}


The removing of the cast post rhinoplasty is typically pain free and does not require any preparation prior to removal. I use an elevator with adhesive remover on it under the cast tape and then it comes right off with minimal discomfort. As far as the chin incision goes I would check and make sure you are not having a reaction to the tape or material used for the bandage. Hot and itchy should be looked at by your surgeon. Best regards, Michael V. Elam, M.D.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

Should I get my cast wet the day before removal so there is less pain?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

This is not necessary. Prior to removal, a solution is applied that will help the cast come off easier.  I would advise speaking with your surgeon regarding his or her recommendation for a topical cream, as it is difficult to provide you with advice without performing an exam. I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Wetting the Cast before Removal and Itchy Chin after Chin Implant

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

  The itchy chin after chin implant could be allergic reaction to adhesive or infection.  Wetting the cast may help, but I use an adhesive degrading agent prior to removal of the splint.  Kenneth Hughes, MD Los Angeles, CA

Cast Removal after Facial Surgery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Speak with your surgeon for his/her specific advise, and each surgeon will have different recommendations. Typically, there is no specific preparation required for facial cast removal after rhinoplasty. Generally, some plastic surgeons may recommend to get the cast wet prior to removal in the office. However, all surgeons will use a adhesive remover, such as acetone, to gently remove the cast. There is no pain. 


Best of luck.

Dr. Chaboki


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Tape removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
You can take shower but your doctor will most likely use an adhesive removal solution to loosen the tape before removal.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.