NSAID Prescribed Post-Revision Rhinoplasty

Hello. I had revisional surgery 8 days ago & my PS prescribed a non steroid anti inflamatory drug that I have been taking since my surgery & will do so for another 3 days. My understanding is that NSAIDS may help minimise swelling although when my cast was removed yesterday I was pleasantly surprised with my profile but front on my bridge and tip are VERY SWOLLEN so I'm not sure what if any effect these tablets have had anyway. How common is the use of NSAIDs for rhinoplasty?

Doctor Answers 5

NSAID after Rhinoplasty

I tell my patients to avoid NSAID treatment  before and after surgery, However, don't start second guessing your surgeon immediately after your rhinoplasty. Follow his/her instructions through the healing process - swelling will resolve.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

NSAIDS and rhinoplasty

While NSAIDS may help with inflammation, I do not think that they really impact post-operative swelling. I usually have my patients avoid them before and just after surgery because they can cause more bruising.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

NSAID use to help with rhinoplaty swelling

I usually have my patients refrain from using NSAIDs for about 10 days after rhinoplasty surgery. This is due to the blood thinning effect they have.

If your surgeon prescribed it I would continue with the medication as instructed. It may help a little bit with the swelling. To help with the postoperative swelling even more I recommend patients follow a low sodium (less than 1500 mg) diet. This and the tincture of time will help the most.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

NSAID Prescribed Post-Revision Rhinoplasty

Personally, I prefer to avoid NSAID use within two weeks after surgery due to an increased risk of bleeding. However, the surgery you had may have a low risk for bleeding and NSAID use may be just fine. Of course, NSAIDS are never a good idea if you have definite medical contraindications such as a bleeding ulcer or renal failure).

NSAIDS will help decrease swelling somewhat, but the long-term best solution for reducing swelling is time. Be patient. After revision nasal surgery in can take years for all swelling to subside.

Anand D. Patel, MD
Brookfield Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

NSAIDs after rhinoplasty

NSAIDs are probably safe a week after rhinoplasty although I ask my patients to avoid them for 2 weeks.  A short course of steroids is also a good option to reduce swelling.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 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.