Op. Dr. Harun Acıpayam

Otorhinolaryngology and Head & Neck Surgery Specialist

About Rhinoplasty
(Nose Aesthetic Surgery):

Pain after rhinoplasty surgery is not a common condition. Paracetamol group painkillers are prescribed for an average of 1 week after the operation, to be used when needed. In the first 3-4 days after the operation, edema and a feeling of fullness in the nose may be felt, and these complaints decrease day by day.

In some patients, muscle sheath tissue called fascia can be taken from the scalp. In this case, a temporary headache may be felt for 2-3 days after the operation.

Rarely, patients with a low pain threshold may have post-operative pain, in such cases we can prescribe more effective painkillers, but this is not usually the case.

There is no standard time for the operation period, the operation is continued until the planned nose is completed. The operation may take an average of 3 hours, but 2 hours may be sufficient for a nose with relatively few deformities, or it may take up to 5 hours for severely deformed noses.

The effect of anesthesia usually wears off about 3 hours after the operation. At the end of this period, if there is no problem in your general findings, you can start taking food slowly, starting with liquid soft foods, accompanied by our nurses. When you start to feel better after eating, you and the nurses take short walks in the room.

If there is no problem when your follow-up period is complete after the surgery, it is not necessary to stay in the hospital. By feeling more comfortable in the home environment, your healing process can be accelerated and the risk of possible hospital infection will be reduced. Your doctor may decide that you need to stay in the hospital at the end of your follow-up period.

During the surgery, your breathing is supported by a device under anesthesia with a procedure called intubation. The intubation tube may cause temporary irritation and discomfort in the throat. If there is a feeling of pain in the throat after the operation, then dexpanthenol-containing lozenges can be used.

There is no seasonal restriction for nose surgery. While making your surgery and holiday plans, it is sufficient to keep in mind that swimming in the sea/pool for 2 months after the surgery will be inconvenient.

If you do not have any known additional discomfort, post-operative nasal congestion may continue for an average of 1-2 weeks. In the first week, there are silicones called “splints” in the nose. During this week, it is recommended to use a nasal wash kit to clean the dried fluid and blood residues in the nose and reduce edema. At the end of your first week, the silicones inside are removed, and after this moment, the feeling of congestion in the nose is greatly reduced and breathing and breathing begin to be comfortable.

In people with additional diseases such as allergic rhinitis, the growth of the nasal concha can be reduced with an additional intervention during the surgery, and breathing can be facilitated, but it may be necessary to stay away from allergens and continue allergy treatment in these people.

Postoperative edema/swelling around the eyes and on the face is an expected condition. The severity of this edema may show individual differences. It is important to return to active life quickly for the rapid regression of edema after the surgery. Sitting or lying down all day can slow down the rate of resolution as it will reduce the speed of fluid circulation. After the surgery, sleeping with a high pillow, consuming plenty of fluids, taking short walks, cold applications, frequent application of arnica-containing gels, consuming pineapple and using bromelanin-containing supplements increase the rate of regression of edema and help you heal faster.

After the second week, after your splint is completely removed, performing massage applications during the day as explained by our team will accelerate the regression of your edema and help your nose to take its final shape faster.

After the surgery, bruises can be observed around the eyes due to the location of the eye area very close to the nose. The bruises around the eyes mostly regress after 2 weeks.

For many years, big tampons are no longer applied. After the operation, thin silicone splints are placed in the nose and these are removed 1 week after the operation.

We recommend you sleeping straight for the first week after surgery. There is no harm in sleeping on your side after the first week, but you should not lie face down for at least 6 months.

Your return to business life after nose surgery may vary depending on the job you do. You can return to work even after the 1st week if there are no situations such as physically intense work, bending forward, lifting weights, but it is generally recommended to return to your work life after 2-3 weeks.

The first week after surgery is the most important period in terms of possible complications (such as bleeding). For this reason, we do not want you to go out of the city for 1 week after the operation. In the first week of your surgery, we remove your intranasal silicone splints and replace the splint on the back of your nose. If there is no unexpected situation after this date, there is no harm in traveling by plane.

The first 2 weeks after surgery is the period when the nose is most affected by edema. After the second week, you will start to like the view of your nose from cross and side angles. It may take 2-4 months for the edema to regress and the nose to take its final shape. This period may last up to 6-12 months in patients with thick skin or revision surgeries.

We recommend waiting about 6 months to wear glasses after surgery.