RHINOPLASTY POST-OPERATIVE INSTRUCTIONS:

General Post-Operative Notes:
– Have someone drive you home after surgery and help you at home for 1-2 days
– Get plenty of rest. Follow balanced diet. Avoid high sodium foods and alcohol to decrease the risk of swelling
– Do not smoke, as smoking delays healing and increases the risk of complications.

Pain:
– Your nose may ache and you may have a dull headache.
– Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.
– Do not drink alcohol when taking pain medications.

Activity:
– Start walking as soon as possible, this helps to reduce swelling and lowers the chance of blood clots.
– Do not drive until you are no longer taking any pain medications (Percocet).
– Return to work in 1-2 weeks.
– Avoid strenuous activities or any activity that increases your blood pressure for 2-3 weeks.
– Avoid body contact sports, hitting or rubbing your nose for 2 months.

Bruising/Bleeding:
– A small amount of bleeding is common during the first few days.
– Temporary swelling and bruising around eyes and nose will increase at first and peak after 2 or 3 days. Most swelling and bruising should disappear within 2 weeks. Some subtle swelling (noticeable only to you) will remain for several months.
– Healing is a slow and gradual process. It can take 6 months to 1 year.
– Some numbness may be present around the operative areas.
– Black eyes and swollen nose and eyelids for 7-14 days.
– You may experience some discomfort with breathing.
– Swollen nasal tissues may cause nose to seem “stuffed up” for several weeks.

How do I take care of my incision?
– A splint is applied immediately after surgery for 7 days, and will be removed in the office during the postoperative appointment (5-7 days later).
– Avoid soaking the cast or partaking in any activities that exacerbate sweating
– Avoid exposing scars to sun for at least 2 months
– Always use a strong sunblock, if sun exposure is unavoidable (SPF 30 or greater).
– Keep steri-strips on.
– Keep incisions clean and inspect daily for signs of infection.
– Stay in bed with your head elevated (except for going to the bathroom) for the first day.
– Cold compresses/ frozen peas will reduce swelling
– Avoid blowing your nose for 1 week
– Try to sneeze with the mouth open
– Be gentle when washing your face and hair or using cosmetics.
– Do not use facial makeup on external incisions until advised.
– Contact lenses can be worn as soon as you feel like it, but glasses cannot be worn until your nose is completely healed (approximately 2 months). After your nose splint is removed, tape your glasses to your forehead or prop them on your cheeks until completely healed.

How should I expect to feel?
– After surgery, particularly during the first 24 hours, your face will feel more swollen.
– Mixed emotions after surgery are common (including depression) and it may take a few weeks to feel 100% like yourself

What should I expect to see?
– New nose looks better in 2-3 weeks and usually continues to improve for many months.
– Nasal tip drops to its permanent position in 3-6 months.
– Final results may not be apparent for a year or more.

Follow up:
Schedule a followup appointment for 1 week following the procedure

Call the office if you experience the following:
– Excessive bleeding for an extended period of time
– Problems with medication (controlling pain, nausea, rash etc.)
– Temperature of 101 or higher despite use of medication
– Increased redness or swelling of the nose
– Nausea or vomiting not relieved by medication
– Difficulty urinating after surgery
– Increased nasal crusting