How to Reduce the Swelling after Undergoing Rhinoplasty?

By Jerome Edelstein, MD

When performed by a skilled facial cosmetic surgeon, Rhinoplasty can help achieve symmetry and balance of one’s face. However, recovery can take some time, and results of rhinoplasty surgery aren’t always immediately apparent . Pain and swelling should be expected after just about any type of surgery, including a nose job. The pain generally is moderate to mild after rhinoplasty surgery and usually resolves within the first few days.  The pain experienced after rhinoplasty surgery can be controlled with over the counter medications such as Tylenol. Your surgeon may also prescribe a stronger medication for you. ONLY take medication that is approved by the surgeon.

Swelling and even some bruising can be expected, and can often worsen on the second day following the procedure. The amount of bruising varies from one patient to the next. It can even extend down to the cheek area. However, if only the septum or tip are operated on, bruising is very light.

Here are some ways you can reduce the swelling and discomfort after Rhinoplasty:

– Plan your first couple of weeks following the surgery ahead of time. You shouldn’t do anything other than light tasks. Avoid doing heavy housework and exercise at least for the first two weeks. After a few days, walking is permitted. After two weeks, light exercise is permitted.

– For the first week after the procedure, you will want to sleep with your head elevated. Rest with your head elevated on your back. Make sure you get plenty of rest. When taking a shower, avoid hot water. Keep your nose and face

– Try to avoid any situation where your nose might get bumped or hit. Be careful when dealing with children or pets.

– Be careful with what you eat. During the first week, restrict your diet to fluids and soft foods. Avoid foods that are difficult to chew, such as steak or crackers. Try not to sniff excessively or blow your nose. Gently place a small amount of antibiotic ointment or pure Vaseline around the nostrils to prevent them from drying.

– Swelling can be minimized with the use of a cool, clean compress. Apply it gently to your cheeks and closed eyes every four to five hours for the first couple of days after surgery. NEVER place the cold compress directly onto your nose.

– You can take preventative measures before rhinoplasty surgery to minimize bruising and swelling later on. For at least two weeks prior to the procedure, avoid taking ibuprofen, aspirin, or any other medicine that can cause blood thinning. This also includes herbal remedies such a green tea and ginseng. Your Rhinoplasty surgeon will likely recommend that you avoid such medications after the surgery as well, and just stick with Tylenol or the prescribed medication.

Most people who have had Rhinoplasty agree that achieving an attractive nose is well-worth the few weeks of swelling and few days of discomfort that typically accompanies it.