When Should Cast Be Removed After Rhinoplasty?

Also my cast would be removed 5 days after rhinoplasty surgery. I thought it was a minimum of 7 days after. Was also told I can fly 5-6 days after my surgery. Am I getting positive information?

Doctor Answers 19

Rhinoplasty, When is Cast Removed and When Can Patient Fly?

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Hi Heather,

I remove nasal splints or casts from my rhinoplasty patients at 5 days after surgery (i.e. surgery on Friday, cast off on the following Weds). It does no harm to leave it on for 7 days.

I have had patients fly after they had their cast removed, 5 to 7 days after their surgery.

Good luck and be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Rhinoplasty cast can be removed after 6 to 7 days

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Hi Heather,

The cast is mainly to reduce postop swelling. It can be removed 6 to 7 days after.

I usually let patients fly at 7 days postop and have never had any problems.

The most immediate concern is postop bleeding and/or infection. By 7 days these risks are greatly reduced.


Dr. S.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Flying after rhinoplasty

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I tend to leave the cast in place for 6 or 7 days post-op.

As for flying, remember that the cabin is a very dry place, so I recommend the frequent use of a saline (salt water) nasal spray throughout the flight (most bottles are way less than the 3 oz. limit imposed by the TSA). If the flight's longer than about two hours, I also recommend getting up and walking the aisle a few times to minimize the risk of deep vein thrombosis (clots in the deep veins of the legs). But flying after a week should be fine.

All the best,


David C. Pearson, MD
Jacksonville Facial Plastic Surgeon

Ask your doctor for cast removal after Rhinoplasty

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People have individual ways of doing surgery. That is why medicine is an art, not an exact science. I remove splints 3-7 days after surgery and do not suggest flying for over a week -- but then again, if you are having problems after surgery, then flying could be delayed further. This is surgery not a trip to the beauty parlor.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Nasal cast left in place for 6-7 days after Rhinoplasty

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I usually leave the cast in place for 6-7 days after the operation. Depending on your particular surgery, 5 days is probably appropriate. Our patients can fly after the cast is removed.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty splinting

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Five days for nasal splinting is the norm. The splint is used primarily to decrease swelling, which is most severe in the first few days following surgery. After that time it doesn't serve much purpose. Flying is most frequently delayed for one week following surgery. When you do fly, if it is longer than a two hour flight make sure you get up and walk several times and exercise your calf muscles to prevent blood clots from forming in your legs. Good luck!

Cast not important after rhinoplasty.

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Hello, again.

1) We keep the "cast" (it's really a splint) on for 5 days after a rhinoplasty. Some excellent surgeons don't use a splint at all.

2) We like out of town patients to stay in New York for one week after surgery before they fly. This is the period of risk for a nose bleed.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Cast removal after rhinoplasty

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The answer as to when to remove the splint (or cast) should be left up to your doctor. They know what was done and how long it needs to stay on. Sometimes after an infracture (braking) of the nose, the bones are so stable that the cast is only used to help decrease swelling. I would say 5 days is average for many surgeons.

Dean Fardo, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 15 reviews

Rhinoplasty cast should be removed 5-7 days after surgery

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The cast from a rhinoplasty is usually removed anywhere from day 5 to day 7 following a rhinoplasty surgery. In our office we remove the cast usually on day 6. Anywhere from five to seven days is an acceptable time period.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Your nasal cast is less important than your internal stents

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But yes, its there for the first week. Why? The usual answers are to protect your new nose and to reduce the post operative swelling. However if you look with a critical eye, a nasal cast doesn't really do either of these functions very well. Its too small to really protect and post operative swelling is more effectively treated by the taping beneath the cast. So the third reason is probably the best; its traditional. Surgeons are by and large conservatives. Surgeons do what they were trained to do, so if your surgeon's teather/mentor used a cast, then your surgeon will too. There's essentially no down-side, unless its a denver metalic cast and then because of its inflexability there's a fractional risk of ischemia and tissue loss. So lie back and relax. There more important issues to focus on.

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.