I am scheduled to have an open rhinoplasty to slightly refine my nasal tip. Is there a certain amount of time I am supposed to wait before flying on an airplane, exercising, or even being intimate with my significant other?
How Soon After Rhinoplasty Can I Fly or Exercise?
Doctor Answers 81
Intimacy, Exercise, and Flying After Rhinoplasty
Let's save the best for last. Patients may fly 6-7 days following rhinoplasty. Patients may begin light walking at 4-7 days, but wait about 18-21 days before vigorous exercise.
Based on the previous two time periods, you are in the best "position" to determine when you can be intimate. My patients are allowed to "make love" after 10 days, but they must wait 18-21 days for vigorous "sex".
Make sure that you follow your surgeons instructions. Enjoy your new nose and everything else. Be well.
Exercising and Flying After Rhinoplasty
Flying After Rhinoplasty
Many of my patients are from all around the U.S.A. I allow my patients to fly within 7-10 days after I perform a rhinoplasty. We like to take out their internal nasal splints and make sure that they have nasal spray such as an Afrin type spray for middle ear decompression during take off and landing. One needs to also know there will be more swelling when flying after rhinoplasty for up to 3 months.
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Flying in 2 weeks, exercise in 3 weeks
We generally let our patients....
- Fly in one week if they must, but I prefer 10 days to 2 weeks
- Get on an elliptical machine in 3 weeks
- Run in 3-4 weeks as long as it does not hurt. A lot of pressure transmits up to your nose when you plant your foot.
Exercise ok 6 weeks after Rhinoplasty
Every doctor is different, but I suggest 6 weeks for exercise. Intimacy is about being careful, so you can have fun earlier if you are careful. Concern for flying is about dryness. Be sure to humidify your nose frequently during your flight.
Exercise after Rhinoplasty
Our primary concerns with this are the potential for bleeding which are greatest within the first 24 hours and at 7-10 days after surgery. Therefore, physical exertion which can raise your blood pressure should be strictly avoided during this period.
In regards to physical contact, this depends on what was done. A reconstructive rhinoplasty with bone grafts and cartilage grafts requires greater protection than a simple tip rhinoplasty.
My general rule is to use the week number as the number of miles/hr you would set on a treadmill. For example:
Week 1 = 1 mph
Week 2 = 2 mph
Week 3 = 3 mph
But the most important thing is to ask you surgeon.
Limitations after Rhinoplasty
Restrictions after rhinoplasty generally are there to prevent bleeding in the post-operative period. For most surgery, problems with bleeding are usually encountered 7-10 days after the procedure. This is when increased activity can cause a clot to break off a partially healed vessel. These activities include things like nose blowing, strenuous lifting, intimacy, and exercise. We usually allow return to full activity after 2 weeks. Obviously, if there are any issues, that time period is extended.
Flying can be safe after 2 weeks, although we usually recommend waiting 3-4 weeks. The main reason for this recommendation is to avoid being at 30,000 feet if you do happen to have a nose bleed. Pressure changes and dry air can also increase the risk of problems.
Finally, exercise at 2 weeks can sometimes promote temporary increases in swelling. If that occurs, then just dial down the exertion and taper your activity according to how it affects the nose. Nothing permanent will occur if you do happen to swell.
No flying for 1 week, no exercise for 2 weeks
We ask our patients to delay any air travel for a minimum of 7 days after rhinoplasty. No exercise for a full 2 weeks; during the 3rd week patients start with a gentler work out to return to "full force" activity after 3 weeks. The same applies for heavy lifting etc.
For your final recommendations, please refer to the preferences of your rhinoplasty surgeon as he/she may differ from our routine.
Swelling is the enemy.
After any cosmetic procedure the immediate goal is to optimize healing. Much of this involves reducing the swelling, or inflammation, that occurs in the post-operative period. This is even much more critical in a surgery of such extreme detail as in a rhinoplasty. It takes very little to make the difference between an 'OK' result and a wonderful outcome.
I recommend to all my rhinoplasty patients in the early weeks post-op to do early elevation, low salt diet, gentle massage of the surrounding area after the splint use period, fresh pineapple and other natural counter inflammatory agents. As far as exertion/exercise I recommend that the patient a keep heart rate below 100 in the initial few weeks after surgery. Afterwards to monitor the swelling with any increased exertion and to modulate accordingly. As I often all considerations are directed to optimize the healing bed for an excellent outcome.
I hope this helps
In our practice, unrestricted physical activity may be resumed 21 days after rhinoplasty surgery.
Hope this helps.