Mucus Build-Up 1 Month Post-op Rhinoplasty

Increased mucus secretions and associated crusting are common following nasal surgery.  Generally, they can be cleared by gentle blowing which I allow patients to begin 3 weeks after rhinoplasy.  Saline spray may help to loosen crusting as well.

It is quite common for patients to experience increased nasal drainage after their rhinoplasty. Surgery can lead to temporary inflammation of the internal nasal lining. When the nose is inflamed it will produce more mucus than normal.

I find that having patients do twice daily saline lavages helps quite a bit with this. If you haven't seen your surgeon since you noticed this drainage issue I'd recommend having a checkup to make sure nothing else is going on.

The answer is Yes.  Absolutely normal.  The reality of altering the manner in which you breathe or the position of your nasal cartilage for either internal work (septoplasty) or external (rhinoplasty) is that, as surgeons, we've completely altered the native airflow pattern and mucosal sensitivity of your nose in the immediate postoperative periord.  In patient's who experience crusting and irritation in the nose, I recommend using both a saline rinse option (Neil-Med sinus rinse, OTC at Walgreen's etc) and a small amount of Aquaphor ointment to the inside of the nose twice daily.  You will notice a decrease in the crusting and mucous in short order (2-3 weeks).  This is a generic recommendation that benefits patient's considerably in the postop window.  Good luck!  Dr. Shep