Is It a Must to Put on a Cast After Rhinoplasty?

When osteotomies (fracturing of the nasal bones) are performed, or when the structure of the nose is altered, it is necessary to place a hard cast on the nose for the first week following surgery. This ensures your nose heals properly in its new shape. After the cast is removed, you will have brown paper tape on the nose for another week. Not so bad considering you'll get a lifetime of joy from your new nose. Good luck.

It is traditional to place an external cast after rhinoplasty. However it's not necessary. The argument for a cast is based on stabilizing the fractured nasal bones during the initial critical days after surgery. The other argument is it reduces swelling. Neither of these have been clearly proven to be true. However since the complications of having a cast placed is very remote, most surgeons continue the practice. It's the attitude "Since there's no harm, and it might help...." Its the internal stents which are the more critical part many surgeons feel.

Hello,

Whenever osteotomies come to be a part of a given rhinoplasty then splints are required to keep the nasal bones in place to heal properly.

Therefore, when the surgeon does not address the nasal bones a "cast" is not necessary hence the swelling will be minimized.

I hope this helps.

Thank you for your inquiry.

The best of luck to you.

Dr. Sajjadian