Severe Congestion After Septorhinoplasty

Is this normal and when is it time to worry that this may be permanent? I have been on flonase for 9 days and don't have really any relief. My PS, a very qualified rhino expert and ENT specialist, has seen me and told me everything is well, just a lot of swelling. Seriously having the hardest time managing this clogged feeling and I'm so miserable. I can't really feel any substantial improvements; what I do notice I attribute to the Flonase maybe?

Doctor Answers 7

Congestion Following Septorhinoplasty



It is not abnormal to experience congestion for up to two weeks following your surgery. At this point, it would be best to speak with your surgeon, as he/she knows the extent of your surgery and exactly what was performed. Thank you, and I hope this helps.
Dr. Nassif


Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 47 reviews

Congestion After Septo-rhinoplasty

It is not uncommon to have some congestion after septo-rhinoplasty for 2-3 months. Most of the congestion resolves within a few months, but one can use a low dose of Flonase if there is an allergic component.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 63 reviews

Congestion nasally

There is some information that you did not mention.  Are you early post-op?  If you are, it is quite normal to have swelling.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Nasal Congestion after Septorhinoplasty

Nasal congestion may persist for several weeks after surgery, depending on what was done during your procedure. How long ago was the operation? Does your surgeon know that you're using the flonase?  Follow his/her advice.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Nasal congestion after septorhinoplasty

You said you have a very competent PS so I assume he ruled out an organizing septal hematoma or other complications. You may well have rebound congestion if you used afrin or other type of nasal sprays. Trial of short course cortisone by mouth helps in that instance, but all of this should be obvious to your doc. All else failing you need a second oppinion. Good luck

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Nasal Congestion after Septoplasty

Nasal congestion in the first few weeks after septoplasty surgery is normal.  A majority of this congestion is due to swelling of the nasal lining.  Allow time for the swelling to resolve, and if this is not improved in a month or two follow up with your surgeon.  Good Luck.....Dr. Corrado

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
4.9 out of 5 stars 34 reviews

Nasal Congestion after Septorhinoplasty or Rhinoplasty Surgery

Hi Dallas8303 in Dallas, TX,

Septoplasty surgery helps improve a deviated nasal septum, which may or may not be combined with rhinoplasty. Typically, nasal surgeons will place absorb able sutures inside the nose, which slowly dissolve over time. Sometimes sutures or internal silicone splints may need to be removed about one week following nasal surgery. In addition to internal sutures and splints, the nose produces more mucous and crust in the early postoperative period. Lastly, mucosa swelling contributes to nasal congestion. Saline rinses may help improve the congestion symptoms from all of these.

While many patients have improved nasal breathing early after septoplasty, some patients don't appreciate the gradual improvement until a few weeks after surgery. Any concerns should be brought to the attention of your surgeon, and follow his/her care instructions.

Dr. Chaboki

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 86 reviews

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.