nose brusing after rhinoplasty

by / Monday, 06 August 2018 / Published in Uncategorized

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.

doctor tarzi 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. doctor tarzi also uses a high-definition  Equipment  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.

How to minimize bruising after rhinoplasty

Infracturing of the bones during rhinoplasty might leave some bruising under the eyes. However, an open rhinoplasty is left completely dry by the surgeon so bruising is uncommon unless infracturing is part of the operation.

Reducing rhinoplasty bruising and speed recovery

The best way to reduce bruising and speed recovery is follow a carefully directed plan provided by the surgeon.
The program follows with a homeopathic remedy for before and after the procedure. Specific instructions for the patient at home include crushed ice in a glove applied across the eyes and nose for periods of 20 minutes on and 20 minutes off for the first 24 -48 hours. Also, elevation of head during sleep in a lounge chair or with several pillows can substantially reduce swelling and bruising.

Follow Surgeon’s Instructions

Most surgeons will have some degree of written pre- and postoperative instructions for patient to follow in addition to preoperative counseling. Obviously, part of the outcome relates to the surgeon’s individual techniques. Part of the outcome relates to preoperative instructions: Patient should avoid aspirin, vitamin E, non steroid anti-inflammatory drugs, and/or other meds which promote bruising. Lastly, part of the outcome relates to postoperative instructions: Patients should avoid bending over, lifting heavy objects, sneezing with a closed mouth, and should sleep with head elevated. All of these factors help insure a more speedy recovery.

Advice to decrease bruising and swelling after rhinoplasty

There are various things that can be done to reduce bruising and swelling. Some are done by the surgeon and some can be done by the patient. the main things patient can do to reduce bruising and swelling is to:


  • Apply cold compresses. Beginning as soon as you get home on the day of your surgery, apply cold compresses to the area around your nose. Apply the cold compresses around your eyes, on your eyes, on your forehead and cheeks, and the area around your nose. Avoid placing the ice treatments directly on your nose. This is an important step in reducing swelling.


  • Keep your head elevated. It is important that you keep your head above your heart at all times, including when you are resting and sleeping. Also avoid bending over. This is important in reducing the amount of swelling that develops.
  • Leave the dressings alone. The tape, splint, and nasal packing will likely feel uncomfortable. These were placed precisely by your surgeon and are there to promote healing and reduce swelling. Even though they may feel uncomfortable, your best way to reduce swelling is to leave them alone.
  • Take prescribed medications as directed. Follow your surgeon’s instructions for any medications provided to help with pain relief and swelling. Do not take any medication without your surgeon’s recommendation.
  • Make changes in your personal hygiene routines. Instead of showers, take baths for the time that you have bandages. The steam and excessive moisture from the shower water may loosen the bandages or nasal packing and alter the way those tissues heal.


  • Avoid undue force to your nose. Sudden pressure, bumping your nose, or a force to the injured area can cause more swelling and may interfere with the healing process.

Avoiding excessive bruising and swelling after Rhinoplasty


Bruising and swelling on the nose are a reflection of the amount of surgical trauma the nose endures during rhinoplasty. The integrity of the lymphatics will also influence the course of swelling postoperatively.

  • Follow surgeon instructions. They will usually include stopping all blood thinning medications and supplements such as aspirin, ibuprofen, vitamin E for two weeks prior to your surgery. Usually, we give our patients a complete list of these medications and supplements at their pre-operative appointment.
  • Surgeon skill matters. Patient can talk to several recent patients about their bruising. However, remember, in the grand scheme of things, an extra day or two of bruising is nothing compared to the importance of the overall good result.
  • The patient factors: extent of the work required and skin type. Some patients will bruise more than others, all other things being equal.
  • use Arnica capsules and Bromelain capsules before and after rhinoplasty, and it  is founded that patients have minimal bruising.

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