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Rhinoplasty

WHAT YOU NEED TO KNOW:

Rhinoplasty is surgery to repair or reshape your nose. You may have a splint on your nose to protect it. You will have swelling, pain, and bruising for 2 to 3 weeks. You may have numbness for several weeks to months. It may take up to 1 year to see final results.

DISCHARGE INSTRUCTIONS:

Call your local emergency number (911 in the US) if:

  • You have trouble breathing.
  • Clear fluid comes out of your nose when you bend your head forward.

Seek care immediately if:

  • Your heart is beating fast or has an irregular rhythm.
  • You have severe pain.
  • You have red streaks on the skin around your nose.
  • Your nose or the roof of your mouth is pale or starting to turn black.

Call your doctor if:

  • Your splint is loose or comes off.
  • You feel blood draining down your throat.
  • You have a fever above 101°F (38°C).
  • Your nose is red, swollen, and draining pus.
  • You have a bad smell or taste in your mouth.
  • You have a change in your vision.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Read the labels of all other medicines you are using to see if they also contain acetaminophen, or ask your doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly. Do not use more than 4 grams (4,000 milligrams) total of acetaminophen in one day.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. NSAIDs can cause stomach bleeding or kidney problems in certain people. If you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Prescription pain medicine may be given. Ask your healthcare provider how to take this medicine safely. Some prescription pain medicines contain acetaminophen. Do not take other medicines that contain acetaminophen without talking to your healthcare provider. Too much acetaminophen may cause liver damage. Prescription pain medicine may cause constipation. Ask your healthcare provider how to prevent or treat constipation.
  • Antibiotics help prevent or treat a bacterial infection.
  • Decongestants help reduce congestion and help you breathe more easily. If you take decongestant pills, they may make you feel restless or cause problems with your sleep. Do not use decongestant sprays for longer than a few days.
  • Steroids help reduce redness and swelling.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Care for your nose:

  • Rinse your nose with saline 1 or 2 times a day, or as directed. Mix ½ teaspoon of salt and ¼ teaspoon of baking soda with 1 cup of warm distilled water. Nose rinses help remove crusts and prevent infection. Apply petroleum jelly to your nostrils after you rinse your nose. You may have gauze taped under your nostrils. Change the gauze if it gets wet or dirty. If you have a splint, do not get it wet or try to remove it.
  • Apply ice on your nose for 15 to 20 minutes every hour for 24 hours. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.
  • Elevate your head and upper back. Keep your head and upper back elevated day and night to decrease swelling and pain. Prop your upper body on 3 to 4 pillows or sit in a recliner.
  • Protect your nose. Do not bump your nose or allow anyone to touch your nose. Avoid heavy activity or exercise.
  • Do not blow your nose. The increase in pressure can cause bruising, swelling, and bleeding. Try not to sneeze. If you have to sneeze, keep your mouth open to decrease pressure in your nose.
  • Use a cool mist humidifier. A cool mist humidifier will increase air moisture in your home. This will help keep your nose and throat moist and prevent irritation.
  • Avoid sun for 1 year. Sun exposure can discolor your nose or cause a sunburn. Use at least an SPF 30 sunscreen. Wear a hat to limit sun exposure on your nose.

Follow up with your doctor as directed:

You will need to return to have the stitches, gauze packing, or splint removed. You may also need frequent visits to monitor how well your nose heals. Write down your questions so you remember to ask them during your visits.

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Rhinoplasty (Discharge Care)

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Further information

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