Post Rhinoplasty Patient Instructions

The following are the instructions the patient receives after nose surgery:

1) Rest for the first ten days—no need to be in bed.

2) Nasal bleeding: it is normal and expected during the first 72 hours. Change the collecting gauze (the one located below the nose) as many times as necessary to maintain hygiene and avoid staining. When the bleeding and secretions stop, you may run out of collecting gauze.

3) Do not blow your nose for the first 15 days because it could cause nosebleeds. Instead, you can breathe in deeply through your nose safely.

4) Plugging: In most cases, we do not use nasal plugging. Inside the nose, two sheets of cellulose (radiographic plate material) are placed to help prevent bruising and internal synechiae. These plates are removed between 2 and 14 days, depending on each case. Likewise, during the first ten days, the nose is quite obstructed by post-operative inflammation, crusts, and discharge (feels similar to a cold). The obstruction gradually subsides. Only after 30 days can the nose be considered completely unobstructed. Edema and bruising increase and peak at 72 hours. 90% is resolved after ten days. The swelling will be more pronounced during the morning hours. Sometimes the whole face swells up to the upper lip and jaw, and it is normal.


To help the reabsorption of bruises and local edema you can use: Local cold under the eyes and between the eyebrows with ice wrapped in compresses (not directly). Use time: The first three days. Therefore it is not recommended.

Chamomile tea: It is known for its local anti-inflammatory effect. It is useful for the first ten days. How to use: Boil a pot with water and prepare the tea with chamomile sachets or with the chamomile flower that is available in herbalists (preferably). Then let stand for a few minutes and add ice to the solution. Apply the embedded cloths to the inflamed region for 30 minutes every 3 hours.

Raising the head of the bed: slightly improves post-operative swelling, but it is not strictly necessary. A splint is placed on the nose in most cases, and it stays for a time between 6 and 15 days. Underneath the splint is adhesive tapes that help contain swelling and reduce edema. After removing the tapes, the skin will be more seborrheic, and it can be cleaned with neutral soap once or twice and use moisturizing and/or keratolytic creams.