Pain During Recovery from Rhinoplasty Surgery?

Question

How much pain is involved, how much bleeding should be expected after rhinoplasty surgery? Will the pain from swelling and bruising start to subside in about 2 weeks?

Babak Azizzadeh, MD, FACS · Answer

Everyone has a different pain tolerance, and the specifics of your surgery will also determine the amount of pain and post-treatment healing time. Most people can be kept comfortable with pain medication.

Thomas A. Lamperti, MD · Answer

Most people describe a throbbing type of pain after rhinoplasty. There is a fair bit of variability in pain tolerance but most people control their pain with either plain tylenol or a few days of a narcotic pill.

	There may be some bloody nose drainage after surgery but this typically subsides after the first few days. If you do have any bruising it usually resorbs after 2 weeks.

Stephen Prendiville, MD · Answer

Although there is usually some discomfort after Rhinoplasty, it is generally not in the severe category. However, the amount of discomfort after this procedure is related to the finesse in tissue manipulation and the proficiency of the Surgeon in performing osteotomies (breaking the nasal bones). If the nose is packed, most of the discomfort comes from the sensation of nasal obstruction than true pain.

Julian De Silva, MD · Answer

In most people discomfort and pain after rhinoplasty settles 24-48 hours after the surgery. In patients where the nasal bones have been narrowed, termed osteotomies, a minority of patients may find some sensitivity and discomfort over the bridge of the nose intermittently for several weeks. In addition there is some swelling on the inside lining of the nose that can result in symptoms of congestion, this can result in headaches particularly in sensitive individuals if coupled with other conditions such as hay fever or sinusitis. These patients may benefit from a course of antibiotics or anti-inflammatory medications during the recovery period. There can be a wide variation in individual patient’s threshold for pain, most patients report only mild or minimal discomfort.

Paul Carniol, MD · Answer

After rhinoplasty the vast majority of my patients have had mild pain which has been relieved by acetominophen

EAch patient's experience varies so it is possible that you will require additional medication for pain

Remus Repta, MD · Answer

Hello,

	Most of my patients have described the sensation of pressure as opposed to pain.  Similarly if there is septum work there will likely be a short perior of nasal "stuffiness".  Pain is not a big part of rhinoplasty recovery but the discomfort of the above mentioned sensations can be cumbersome.

	All the best,

	Dr Remus Repta

Michael Sullivan, MD (retired) · Answer

Every patient is different when it comes to recovery. Many of my patients are able to manage their pain with Tylenol. Most patients experience a "stuffiness" following the procedure. Discuss your pain management concerns with your surgeon. Best of Luck!

Francis R. Palmer, III, MD (retired) · Answer

I have performed Rhinoplasty for over 20 years and use a long acting local anesthetic, blocking the nerves around the nose called Marcaine as well as the standard shorter acting Xylocaine. IMHO, this decreases the discomfort to the point that my Rhinoplasty patients feel a dull ache after the surgery. This sensation is the strongest the first post-op day but you should be comfortable. I do not use any packing in the nose which is a major cause for discomfort when removed post Rhinoplasty. You should also have pain medication for any further discomfort. Most patient do extremely well and are quite comfotable, so I'm not sure this should be a major concern, IMHO.

Pain During Recovery from Rhinoplasty Surgery?

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