Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO

How do I avoid bruising and swelling after a rhinoplasty?

All rhinoplasty patients experience some bruising and swelling after rhinoplasty, but there are a number of actions you can take to minimize these effects, and Dr. Rizk is known for his own techniques that reduce bruising.

The degree of swelling and bruising a patient experiences after rhinoplasty depends on the methods used, how the soft tissue is affected, whether or not bones need to be broken and whether the closed or open rhinoplasty techniques are used, among other factors. While swelling can take up to a year to fully subside, most of it subsides within a couple of weeks to a month. Swelling often persists longest in the nasal tip.

You can encourage quicker healing and reduced swelling by following your surgeon’s postoperative instructions. You will likely be instructed to keep your head elevated in the days following your surgery. It’s also a good idea to avoid alcohol for 48 hours before and two weeks after your surgery. Your surgeon may have you use cold compresses and give you prescription or over-the-counter medications to minimize the swelling. Many surgeons, including Dr. Rizk, also recommend the use of natural remedies such as arnica montana or bromelain.

It is also important that you take care to avoid bumping your nose following rhinoplasty surgery, because this can worsen swelling or even require further surgery. Also avoid the sun for about six weeks, as sun exposure can interfere with the healing process.

Note that some women and patients with thick nasal skin are more likely to experience prolonged nasal swelling following rhinoplasty. Speak with your surgeon to learn more about these issues.

Dr. Rizk takes special measures to help his patients minimize bruising and swelling as much as possible. For example, his use of modern tissue glues and dissolvable sutures make packing (which can cause bruising and swelling) unnecessary. Dr. Rizk also uses a high-definition 3D telescope that allows him to avoid disturbing small blood vessels and sensitive tissues; one of the benefits of this careful technique is that it can reduce swelling and bruising. Speak with Dr. Rizk to learn more.

Written by Dr. Sam Rizk

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