Is Having Your Splints Removed After Rhinoplasty/septoplasty Painful?

Doctor Answers 19

Removing nasal packing and splints after rhinoplasty should be painless

Years ago, when I trained, we put a lot more packing in the nose and left it in for many days. Now, much less packing is used and it is often removed after one day. This has little discomfort and actually a relief to get the packing out. Even taking off the cast, if done gently is painless.

New York Facial Plastic Surgeon
5.0 out of 5 stars 95 reviews

Dressing removal and splint removal is not painful after rhinoplasty surgery.

In our practice, we do not use nasal packing, but if we are repairing a severely deviated nasal septum, temporary septal silicone splints may be placed and removed two weeks postoperative. The external splint and sutures are removed around 7 days postoperative, and this does not hurt. Septal splint removal at 14 days postoperative is also painless, and typically leads to gratifying nasal breathing.Hope this helps you.Dr Joseph

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 378 reviews

Having splints removed can be uncomfortable

Generally, removing the splints following a rhinoplasty is more uncomfortable than painful. Patients may want to take an over the counter painkiller if worried about pain or if they have a low pain tolerance. I use small silicone splints inside of the nose. I feel these are the best tolerated by patients and are not painful to remove. Speak with your surgeon about your concerns before your splint removal appointment. I hope this helps.

Removing Splints

Removing splints after Rhinoplasty should not be painful; although you may experience a weird sensation. There are different techniques that can be used when preparing to have the splints removed that can make the experience more comfortable. Talk to your doctor about what recommendations he/she may have for your post-operative appointment.

Richard A. Zoumalan, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Removing post op bandages

So every doctor does things differently but essentially there are 3 parts to you dressings

Removing the cast/splint
Removing packing or some kind of intranasal entitity
Removing sutures if the surgery was done open

None should hurt.  Removing the intranasal portion may be slightly uncomfortable but its only a few seconds and there is no lingering discomfort

You will be fine

Rady Rahban, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 84 reviews

more uncomfortable then painful

In my practice, when i insert these internal nasal splints, called Doyle splints, i usually cut them down so that the height of the splint is about the same size as the nostril.  This way when they are pulled out they don't get caught on the opening of the nostril which tends to cause the pain.  In that manner it is really just mildly uncomfortable rather than painful.  

Pain meds before, decongestants and local anesthesia are all things that can be used, but usually unnecessary if the above is managed in the operating room correctly.

hope this helps!

Removing Splints Post-Rhinoplasty

Inserting internal splints post-rhinoplasty to maintain the structure of your new nose and external splints for added protection after surgery is very common. Depending on the type of splint and techniques employed by your surgeon, removing the internal splint may be relatively painful. Sometimes, patients take mild painkillers in anticipation for the pain experienced while removing these splints to ease the pain and maximize comfort. 

Sam Rizk, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 48 reviews

Removal of Internal Splints Can Characterized as Uncomfortable

It’s not unusual for surgeons to use internal and external nasal splints following both rhinoplasty and septoplasty. These are used to hold anatomic structures in place following these procedures.

                  External nasal splints are typically left in place for about a week. They are utilized to hold the bones in place following rhinoplasty with infracture. It would be unusual to have pain or discomfort during removal of this type of nasal splint.

                  Internal nasal splints made of silastic are typically utilized when septoplasties are performed. This type of splint is usually left in place for 2-3 weeks following surgery. Removal of internal nasal splints would be characterized as uncomfortable and mildly painful.

                  It’s important to understand that nasal splints are often necessary to obtain an excellent surgical result.  The majority of patients tolerate splint removal without discomfort or pain.

Removing internal septal splint and external nose splint

In the majority of cases internal septal splints are not needed after a rhinoplasty or septoplasty. In the rare event they are used, there is some discomfort upon removal. The external splint on top of the nose holding the nasal shape is mildly uncomfortable when removed.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.5 out of 5 stars 113 reviews

Nasal Splint Removal

Remoal of internal nasal splints, adjacent to the septum, or the external nasal cast is not painful except in the occasional patient with a very low pain threshold, who experiences mild discomfort. Share your concern with your surgeon and take a pain pill before the splints are removed.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 33 reviews

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.