Nose Massaging After Rhinoplasty: Why Do Some Surgeons Recommend Whilst Others Don't?

Surgeons differ in their approach or recommendations regarding patients massaging their noses post op. The goal is to help reduce swelling. However unlike in areas where lymph nodes have been removed and actual fluid is backed up in the tissue and massage helps to mobilize it, there is little to no fluid in the swollen nasal tissue. Some patients find it helpful, other s not. It's an undecided issue and often comes down to surgeon preference. 

Although there are always exceptions I have generally found that having my patients manipulate their noses postop often leads to more problems then benefits.

Massage after rhinoplasty is used for several reasons, including reducing localized swelling and managing contour.  Surgeons may use different means of achieving this including taping, splinting or digital massage.  A given surgeon may recommend massage only for some patients depending on the type of surgery as well.  Of course, a patient should always follow the recommendation of their surgeon.