Quite sure I need a septoplasty surgery but worried about the recovery process. I saw on realself about rhinoplasty recovery, is it similar with septplasty? What do i need to consider about recovering: downtime, medications, pain, etc? thank you so very much for your expert opinions.
Septoplasty Recovery - Time, Tips, How Long?
Doctor Answers 23
First 48 Hours Will Be The Worst
Patients typically have bruising and swelling following septoplasty.This usually last one to two weeks following surgery.The swelling and bruising obviously affect the patient’s appearance post-operatively.It also leads to swelling of the internal nasal structures, which leads to congestion and difficulty breathing through the nose.
Most patients are surprised by how good they feel two to three days following surgery.Depending upon their employment, social situation and the severity of bruising and swelling following surgery, patients may not be ready to work for one to two weeks following surgery.
Most routine activities are resumed in seven to ten days and strenuous activities can be resumed in four to six weeks following surgery.Small amounts of residual swelling may persist for three to four months following septoplasty.
After 48 hours, the typical septoplasty patient feels good, but continues to have some bruising and swelling.Although they feel better, they may not feel good enough to go out in public because of their appearance.The swelling and bruising usually resolves in one to two weeks and at that time patients are able to resume most of their normal activities.
If all of the work is done internally, there is usually a splint inside of your nose that is removed in a week. Recovery is usually more streamlined as there is no external nasal splint.
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Recovery following Septorhinoplasty
Patients go home with an external splint or special tape. The splint is usually removed in 7-10 days. Internal soft silicone splints may be used after septoplasty and remain in place for 1-3 weeks.
Initial discomfort is easily controlled with oral medication and head elevation.
Majority of swelling and bruising subsides progressively over 2-4 weeks.
External sutures (if any) are removed in 4-6 days. Internal sutures dissolve spontaneously.
An early result is evident in 3 months. Final results become evident in 12-14 months which is the time necessary for complete tissue softening.
Areas of sensitivity or numbness will slowly resolve; the tip of the nose will feel stiff or “woody” and this will improve over the first several months. Other temporary conditions may include some airway or sinus blockage, nasal drainage, lumps and irregularities.
Septoplasty- what to expect
Generally speaking a simple septoplasty is fast and relatively painless. Sometimes they can be complex and involve more extesive cartilage and bone work. Either way there you may have a minor ''packing" , a piece of cotton or gauze. This usually comes out in 24-48 hours. Should the septum require silicone plates for stability these are usually removed in a week by your surgeon.Initially you may still feel the air is not moving through your nose because swelling of the soft tissue. This will resolve itself in a couple of weeks. I encourage my patients to use Afrin to decrease swelling and Ocean spray to assist in mosturizing the inside of the nose. Cleaning of the openings of dried blood can be done with a Q-tip and hydrogen peroxide
.In any event, you need to be seen in person by a Board Certified Plastic Surgeon to assist you in making a decision as to what is best for you. I hope that this is helpful for you . Jon Sattler, MD Board Certified Plastic Surgeon, Glendora, California.
I routinely recommend the following: If surgery occurs on a friday you will feel under the weather through the weekend. By monday you will feel very comfortable with normal activities and answering texts, emails, and phone calls if you choose. Ideally, take one full week off from work. At the end of that week the splints (plastic pieces that hold the septal lining back together) are removed. At this time, resume full work schedule and consider light activity only. Strenous activity can begin again at 2 weeks. You will have no bruising or external signs of surgery from just a septoplasty so the recovery is quicker than a rhinoplasty. It is common to have numbness at the tip of the nose and even the front teeth for a short period of time measured in weeks.
Septoplasty and rhinoplasty have a similar recovery, but differ in a few important ways. There is typically very little bruising or external swelling associated with a septoplasty, while a rhinoplasty often involves much more significant bruising and swelling that can take months to resolve. Most patients will look basically normal from the outside after septoplasty alone.
With septoplasty, there is internal swelling that will cause nasal obstruction in the immediate post-operative period. Depending on the patient and surgeon, internal splints or dissolvable packing may be used, which will worsen the nasal obstruction, and are usually removed within a week or so after surgery. There are often also scabs and crusts inside the nose. I typically recommend that patients rinse the nose with saline spray several times per day after surgery for at least several weeks post-operatively.
There is some pain associated with septoplasty, but most patients do not need any narcotic pain medication after the first few days. It is important to limit physical activity after septoplasty in order to decrease the risk of bleeding. Each surgeon will give different recommendations on restrictions with respect to activity. Some doctors will prescribe antibiotics after surgery as well.
As always, a visit with a well-trained nasal surgeon is recommended.
Recovery after septoplasty
Great question. I tell my patients that they may experience some numbness, pain or tingling from the nose, front teeth or roof of mouth for a few hours to a few days after the surgery. It is also very common to have blood ooze from the nose for 1-2 days after surgery. The soft silicone stents that I place in the nose at surgery, I typically remove the next day. Almost never is there any outward bruising or swelling after a septoplasty alone, and I generally advise my patients they can resume normal activity (within reason) by the second or third day after.
Limited downtime after septoplasty
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.