This will help mood, appetite, sleep, constipation, and swelling. Begin light exercise after about ten days. This may include a slow-paced stationary bike or an epileptiform. No impact exercises. Slowly work up to running and strenuous aerobic exercise after several weeks. Avoid any activities which may result in an impact to the nose for at least six weeks, and any sports for two months where your nose might be bumped.
Eyeglasses may be worn briefly while the splint remains on the nose. After that, they must be suspended from the forehead with tape or supported on the cheek bones for a period of about six weeks.
We will show you how to do this if you absolutely must wear them. This is important because the pressure of the glasses may change the new contour of your nose. If your lips become dry from breathing through your mouth, coat them with Vaseline or Aquaphor. But under any circumstances, avoid ALL moisturizers within an inch or so of the splint tape. This may cause premature loosening of the tape and destabilization of the rhinoplasty.
This rise results from becoming mildly dehydrated due to not drinking enough water. Patients will often think they have an increased temperature because they feel warm. This gradually clears up in a few days without medication. Call us if it persists or concerns you. You should have your first post-operative appointment approximately seven days after surgery. If you were not given an appointment card, please call the office to schedule.
You will feel much better after the dressing is removed. Any sutures requiring removal will be taken out at this time. The outer tape and the splint will be removed. A special tape-removing solution is used to insure these come off easily.
Likewise, the material inside your nose will be softened so that it comes out easily as well. There are no stitches to remove from the inside of your nose because the ones that will be used are the dissolvable type.
The average patient is able to return to work or school the day after the bandages are removed—that is, eight days following surgery. However, that is entirely up to you. When you should return to work depends on the amount of physical activity and public contact your job involves in addition to the amount of swelling and discoloration you develop.
We all love our pets, but over the years, we have noticed that a few patients who tend to sleep with their pets in close proximity will sometimes have some extra inflammation or perhaps even early infection. We recommend that if your pet sleeps on your bed, you take appropriate precautions until a few days after all your sutures are removed.
Pets must sleep on the floor or, if necessary, in a separate room. Make sure all of your bedsheets, pillowcases, etc. Many individuals sustain accidental hits on the nose during the early post-operative period.
It may take a few months for your nasal skin to completely return to normal after rhinoplasty. This may cause trauma to the skin or underlying structures, and may do more harm than good. Also, do not pop pimples! Simply follow a simple cleansing and moisturizing regimen.
Avoid intensive sun exposure for the first week or so after bandage removal, and then faithfully apply daily sunscreen of SPF 15 or higher. Avoid tanning your nose for at least a couple of months.
Often, patients are pleased and relieved to first see their nose when the splint is removed. They expect their nose to be swollen, but are relieved to see positive changes. After about a week or so, a great deal of swelling dissipates—and then reality sets in. It takes an entire year, sometimes even longer, for the final result to be achieved. As things settle, various small lumps and bumps, uneven swelling, etc.
The most common concerns are persistent swelling, numbness, firmness, lack of definition of the tip and the area above the tip, and bumps and irregularities inside the nostrils.
When this occurs, we will advise you as to certain types of massage which can be of some benefit. But realize and accept that it takes time. But no surgeon or nature can create a perfectly proportioned or perfectly symmetrical nose.
Every surgeon in the world has to revise a nose occasionally. Of course, every effort and all of our training and experience will be used to the utmost to giving you the best possible result. But occasionally some revision is required, and this must be postponed for at least one year. Some anxious patients will fear that a revision may be necessary, but the vast majority of the time, things settle down nicely and no additional work is necessary after all. The most common revisions we encounter involve merely a small rasp of a bony prominence due to warping, a small trim of some cartilage, a small injection of cortisone, or a filler such as Restylane.
Occasionally you may incur additional financial costs, such as cost of the operating room or cost of the filler. This does not indicate your rhinoplasty was not successful or was not performed properly.
If you have any further questions, please feel free to call us. You can reach us 24 hours a day, and we are here to help you. We hope this helps you and reassures you during your recovery.
All Rights Reserved. Your safety is our number one priority. Please be reassured there have been no Corona virus reported among our Staff and Patients. For the time being we are planning on continuing practice as usual with some additional precautions. We have always routinely wiped down the patient exam chairs with sanitizing wipes after each patient.
We will expand this to include all door knobs, toilet and faucet handles twice daily. No staff will be allowed to come to work with a cough or fever or if they have contact with anyone with confirmed Coronavirus.
We anticipate that many appointments will be somewhat staggered as some patients prefer to cancel. Instructions The following instructions are based on our experience with thousands of rhinoplasty surgeries. Swelling Every operation, no matter how minor, is accompanied by swelling of the surrounding tissues. You can help the swelling to subside in several ways: Keep your face elevated with your head above the heart, even while sleeping. A recliner comes in handy. Do not swim for a week.
You may notice that your bowel movements are not regular right after your surgery. This is common. Try to avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day.
If you have not had a bowel movement after a couple of days, ask your doctor about taking a mild laxative. Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructions about taking any new medicines. If you take aspirin or some other blood thinner, ask your doctor if and when to start taking it again. Make sure that you understand exactly what your doctor wants you to do. Take pain medicines exactly as directed.
If the doctor gave you a prescription medicine for pain, take it as prescribed. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine. If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. If you think your pain medicine is making you sick to your stomach: Take your medicine after meals unless your doctor has told you not to.
Ask your doctor for a different pain medicine. After the stitches or staples are out, you may wash the incision with soap and water and gently dry the area. If you have strips of tape on the incision the doctor made, leave the tape on for a week or until it falls off. Or follow your doctor's instructions for removing the tape. Put ice or a cold pack on your nose for 10 to 20 minutes at a time.
Try to do this every 1 to 2 hours for the next 3 days when you are awake or until the swelling goes down. A bag of frozen peas or corn works well for this, because it moulds to the shape of your face. Put a thin cloth between the ice and your skin. Do not set glasses on your nose for 4 weeks. Instead, wrap a piece of tape around the bridge of the glasses and attach the tape to your forehead. For 1 week, avoid wearing clothes that you pull over your head. For example, call if: You passed out lost consciousness.
You have severe trouble breathing. You have sudden chest pain and shortness of breath, or you cough up blood. Call your doctor or nurse call line now or seek immediate medical care if: You have pain that does not get better after you take pain medicine. You have symptoms of a blood clot in your leg called a deep vein thrombosis , such as: Pain in the calf, back of the knee, thigh, or groin.
Redness and swelling in your leg or groin. You have loose stitches, or your incision comes open. You are bleeding from the incision. Interviewer: After the first few days, do the bandages come off?
What's after those first few days? Agarwal: So it depends a bit on how much work is done. If there's work done on the bones to narrow the nose or just on the soft tissues, so that'll vary a little bit. But, in general, I think, as a rule, most patients after rhinoplasty have a splint or a bandage on their nose for one week. So that's one week having a little cast on the outside of your nose where you're probably not going to want to be going out and doing a lot of social events.
You want that splint to stay stuck on, so you don't want a lot of moisture on it. So that first week, I don't recommend making any plans. Interviewer: So I assume there's going to be some swelling, and I assume there's going to be some discomfort. Is there anything during that first week or so that patients can do to kind of help speed up their recovery at all?
Agarwal: To minimize swelling, keeping your head elevated can help. And so what I ask patient to do, when they go home, is to get themselves kind of a nest to sleep in, where they have a few extra pillows behind their back or sleep in a recliner. Because when you lay flat, the swelling increases and you can. Interviewer: And what about after those first few weeks? When does that splint finally come off? Agarwal: So normally, between five and seven days, you'll go in for your follow-up visit with your surgeon, and they'll take the splint off, take out any stitches that need to come out.
And at that point, you're going to be a lot more presentable. You will have still some swelling and possibly some bruising. You can have some bruising under your eyes sometimes, so you may need to put on some cover-up. But at that point, after one week, you can usually go back to work as long as you're not doing anything very strenuous or heavy lifting.
Interviewer: So once they take the splint off, is it just you're ready to go, like these are the results you wanted, or my understanding is that it takes a while? Agarwal: Yeah. That's the thing that people don't always understand.
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