Could the Way I Sleep Change the Shape of my Nose?

Question

Im 6 weeks after rhinoplasty and have noticed my nose more swollen than previous weeks, also the tip seems to be to the right side more. My nose looked very good and straight even with the swelling two weeks after. Why am I noticing this now? I usually sleep on my side or my stomach. Could this have an effect on my shape?

William Franckle, MD, FACS · Answer

Sleeping in a position that puts pressure on the nose may prolong swelling. In an ideal situation I would suggest to all my patients that they sleep on their back for 2 months post-operative. That is not a realistic request. It is very difficult to change our natural sleeping positions and if you are someone who sleeps on your stomach, you will probably not get enough rest if you try to. If you can, try to sleep on your side more and not your stomach

Sam Rizk, MD · Answer

Considering that you are still in the early stages of
recovery, your nose is likely changing shape due to progression in swelling and
healing. There is, however, an ideal sleeping position that I always recommend
to my patients following their nose job. Try to keep your head elevated with at
least two pillows so as to promote blood circulation to the nose. Also, if
possible, sleep on your back as opposed to your side or on your stomach to
avoid excessive contact with your vulnerable, new nose.

Vincent N. Zubowicz, MD · Answer

A nose will go through changes for several months after surgery. Sleeping on the nose 6 weeks after surgery might cause a slight increase in temporary swelling but it will have no effect on the long term outcome.

Ali Sajjadian, MD, FACS · Answer

Dear Simplelife12,

	 

	It is possible that if you are applying considerable pressure on your nose to be disadvantageous. Nonetheless, without physical examination it is hard to give you with an exact diagnosis. That said, you should not be too concerned and have trouble sleeping.

	 

	At 6 weeks post surgery, your nose can undergo changes and swelling may have subsided more on one side than the other.

	Usually, it takes about a year so you can establish final results but you need to be a little more patience and let nature takes its course.

	 

	Best of luck to you and thank you for your inquiry.

	Dr. Sajjadian

Robert Shumway, MD - Account Suspended · Answer

Positional sleeping does affect the results and the amount of swelling post-rhinoplasty: during the first two months. Thereafter, be careful not to sleep in the prone position for an additional 3 months. Best of luck!

Could the Way I Sleep Change the Shape of my Nose?

Answers (6)