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During
the recovery period after a revision rhinoplasty, bruising
and swelling usually occur as well as nasal congestion
(a stuffy nose). While this can be uncomfortable, most
patients are surprised by how quickly it begins to heal
after a few days.
swelling: Swelling after
rhinoplatsy is common and can last for many months.
Swelling immediately after surgery can cause a sensation
of pressure, and may be relieved by applying ice or
a cold compress to the area. Not all surgeons recommend
cold compresses, so check with your surgeon first.
bruising: You will likely
experience bruising around the nose and under the eyes.
The bruises sometimes darken as they heal, and may go
through several colors as they heal (purple, red, green
or yellow shades are common).
packing: Some patients leave
with nasal packing (cotton packed into the nasal passages),
some don't, depending on the case and the doctor. It
is commonly used more in cases where breathing correction
was involved, as it helps keep the septum straight during
initial healing. Some surgeons use it in every case,
some rarely do. If you leave your surgery with packing,
it will be usually be removed in 1-3 days at your first
visit with the doctor after surgery.
nasal congestion: Even after
the packing comes out, it is normal to still feel congested.
This is due to swelling of the delicate mucous membranes,
and will subside as the swelling dissipates. Do not
blow your nose as this may cause your nose to bleed.
sleeping: Laying flat can
cause dilation of the capillaries and blood vessels,
and increased swelling. You should sleep at a 30 degree
angle, such as in recliner chair or with at least 2-3
pillows. This helps keep the swelling and bruising to
a minimum since the blood is not rushing to your head.
medications: Alcohol and
medications containing aspirin (such as advil, motrin,
or ibuprofen) should not be taken after revision nose
surgery, as they may inhibit blood clotting and cause
nosebleeds. Your doctor will give you prescriptions
for pain medication and antibiotics. Especially if you
have had any grafts placed, it is very important to
take your antibiotics to prevent infection.
If you notice these signs you
should call your doctor
- Severe nosebleeds
- Any kind of discharge that is not normal nasal mucous
- Uncontrollable pain
- Vomiting
- Fever over 101° F
- Dizziness unrelated to the pain relievers
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