Extreme pressure/pain after rhinoplasty. Is this normal?

Question

I’m 5 days post-surgery. I’ve never had a rhinoplasty before so I’m not sure if this is normal, but the pressure/pain in my nose is so uncomfortable. It started to ease on day 4 and then today it’s suddenly gotten worse. I feel like my nose is going to snap under my cast!! I’ve taken both tramadol and co-dydramol and even they don’t seem to be helping much. How common is this level of pressure? And how common is it to return after mild improvement?

Eric M. Joseph, MD · Answer

In general, there is NOT a lot of discomfort after rhinoplasty surgery, unless nasal packing is used. Our patients typically describe mild discomfort lasting 72 hours and subsiding. In that regard, you should visit your surgeon today to see what may be causing severe pain - sinusitis, cellulitis, and septal hematoma should be excluded. Hope this helps. Dr Joseph

Tanveer Janjua, MD · Answer

The pain can be an normal but sudden increase can indicate, infection, hematoma or movement of bones. It is best to be inspected by your surgeon. RegardsDr. J

Kenneth Hughes, MD · Answer

Severe pressure/pain 5 days after rhinoplasty is atypical.  Suggest that you contact your PS as soon as possible for a follow up appointment.Kenneth Hughes, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Nirmal Nathan, MD · Answer

Dear arm1985,Thank you for your question. It is not typical to have severe pain or pressure after a rhinoplasty. If you still have nasal packing it can feel stuffy. Severe pain is also not typical. I would strongly recommend you followup with your surgeon and/or go to the nearest ER for evaluation.Best regards,Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

Stephen T. Greenberg, MD, FACS · Answer

Hi, thank you for your question. You are still very early in your recovery period. It is common to have pressure and swelling for awhile after surgery.   I would recommend following up with your surgeon with any questions.  Best of luck to you.

Extreme pressure/pain after rhinoplasty. Is this normal?

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Extreme pressure/pain after rhinoplasty. Is this normal?

Answers (5)

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