Profuse Nose Bleeding After Rhinoplasty

Some bleeding is expected after nasal surgery for the first few days. Excessive bleeding occurs when the mustache dressing is soaked through with blood every few minutes. This happens about 1% of surgeries. Severe bleeding is when blood is pouring out or down the throat and is very rare. Bleeding usually happens within the first two days but is possible for the first few weeks. Bleeding of this degree requires professional help and a trip to the emergency. Usually further surgery isn't necessary. Rather complete cleaning of all blood clots and copious decongestant nasal drops will resolve the bleeding. The two commonest areas are the turbinates and the very back of the nose where the large arteries enter the nasal cavities.

Although rare, post-operative bleeding is a well-known complication following rhinoplasty surgery. In the immediate post-operative period this bleeding is usually related to surgical trauma. When significant bleeding occurs, the nose is usually re-packed. In some cases endoscopic evaluation is necessary to determine the cause of bleeding. Under these circumstances, direct control of the bleeding site may be necessary.
                Bleeding that occurs three years after surgery, probably isn’t related to your rhinoplasty. Under these circumstances environmental factors such as dry air are more likely causes. 

I agree that you need an endoscopic nasal exam by an ENT or facial plastic surgeon to identify a possible source

Profuse bleeding after rhinoplasty is rare, but can happen.  Bleeding several years after a rhinoplasty that only occurs a few times each year or once a year is likely unrelated.  However, it would be best for you to see a qualified ENT surgeon so examine and do a video endoscopy to visualize that tissue that is bleeding.

 

Good Luck.

I read your concern. If you're having frequent nasal bleeding, please consult a reputable ENT for evaluation and management. You may get an endoscopic examination of your nose to pinpoint the source of bleeding. Depending on your history, blood work may be necessary to exclude a bleeding disorder.

If you're currently having mild bleeding only once a year, you may just need a minor, in-office cauterization procedure.

I hope this is helpful for you.

Regards from NJ.