Following Rhinoplasty, what position should you sleep in? Also, if you wind up on your back or side during the night, will that affect the development of your nose adversely and alter the results if even slightly?
Sleeping Position After Rhinoplasty?
Doctor Answers 24
Rhinoplasty and Sleeping Position
After rhinoplasty it is advised to keep your head (nose) elevated above your heart. That usually translates to 3 to 4 pillows. To facilitate staying on your back, you should place sand bags on either side of you, a spouse will work on one side (just kidding). You can place something on each side of you to help from turning onto your side or stomach.
Good luck, enjoy your new nose, and sweet dreams.
Increasing comfort after rhinoplasty
While keeping the head higher than your heart for the first few days post-op will probably minimize swelling, I also recommend it for comfort. When the nose is congested--as it will be after surgery--lying flat can sometimes make patients feel as if they're smothering.
It's doubtful that lying flat would cause any truly lasting harm, though. So if a patient is adamant about lying flat, I'd rather they get their sleep and rest than be up all night in an uncomfortable position.
I do caution them against lying on their side in a way that smooshes their cheek and face, since that could potentially shift repositioned nasal bones. I can't say that I've ever seen a bad result that was merely due to patient sleeping position, but it's prudent to minimize the chance.
All the best,
Sleep with your head elevated and on your back!
If you have a rhinoplasty with osteotomies (breaking the bones of your nose), this requires some time to heal. I am not aware of any research on this, but I think common sense and the laws of gravity instruct us that you should be on your back. If I did 1000 rhinoplasties and instructed all to sleep on their right side, and did another 1000 and instructed them all to lay on their back, I believe that a few of the first group (how many I can't say, but some) a few more of the first group would be twisted to the right compared to the group sleeping on their back.
And so, I specifically instruct my patients to use a travel pillow, or a rolled up towel, or some other method so that they sleep on their back not their side.
As for sleeping with your head elevated, that is for swelling and has a small but definite positive benefit.
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Sleeping position after rhinoplasty
I recommend the "lounge chair position," which means head elevated above the chest and knees slightly flexed. This position can be approximated in bed with two pillows behind the head and one pillow behind the knees.
Ideal Sleeping Position Post-Rhinoplasty
Sleeping position after a Rhinoplasty
Sleeping After Rhinoplasty
In general, one should consider sleeping with your head elevated for the first two weeks after any rhinoplasty or facial procedures such as head and neck, to minimize swelling post operatively.
Suggested sleeping position after rhinoplasty
No long term effects
The goal of head elevation and ice is to reduce swelling and bruising. Keeping your head elevated above your heart allows the swelling fluids to drain from the nose. Over time all of the swelling goes down and there will not be any permanent damage .
Elevated the sugery site
For several days after surgery the surgical site will swell with healing inflammation. Keep your nose elevated as much as possible. If you sleep on a flat surface with your nose at the same height as your toes you will get more swelling. Gravity will help the swelling stay down and will encourage it to go away.
If you do get a little more swelling than average this should not harm the results, it will only take longer to get back to normal. Keep your activity and straining very low and you should heal well.
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