What happens after the operation?
Do not blow your nose for about a week, or it might start bleeding. If you are going to sneeze, sneeze with your mouth open to protect your nose.
You may get some blood-coloured watery fluid from your nose for the first two weeks or so - this is normal. Your nose will be blocked both sides like a heavy cold for 10-14 days after the operation.
We may give you some drops or spray to help this. It may take up to three months for your nose to settle down and for your breathing to be clear again. Try to stay away from dusty or smoky places.
There will be some stitches inside your nose - these will dissolve and fall out by themselves.
You may have some bruising and swelling around your nose and eyes for one to two weeks. Sleeping upright with extra pillows for a few days helps.
Following rhinoplasty or septorhinoplasty, the skin of the nose is very sensitive to the sun. It is important to wear strong sunscreen and a hat for at least six months.
The nose may feel a little stiff and numb for up to three months, particularly around the tip. Fine swelling may take up to a year to settle at which time the final results of surgery may be judged.
How long will I be off work?
You can expect to go home the day after your operation. Sometimes it is possible to go home the same day.
You should rest at home for at least a week. Most people need one to two weeks off work, especially if their work involves heavy lifting or strenuous activity. You should not play sports where there is a risk of your nose being knocked for six weeks. Ask your nurse if you need a sick note for your time in hospital.
Sometimes your nose can bleed after the operation, and we may have to put packs into your nose to stop it. This can happen within the first 6 - 8 hours after surgery or up to 5 - 10 days after surgery. Very occasionally patients need to have another operation to stop the bleeding.
Infection in your nose is rare after this operation but if it happens it can be serious, so you should see a doctor if your nose is getting more and more blocked and sore.
Rarely, the operation may leave a hole in your septum inside the nose going from one side of your nose to the other.
This can cause a whistling noise when you breathe, crusting with blockage or nosebleeds. Most of the time it causes no problems at all and needs no treatment. If necessary, further surgery can be carried out to repair a hole in the septum.
Very rarely, you can have some numbness of your teeth, which usually settles with time.
About 5-10% of patients need further operations in the future to further adjust the shape of the nose.
Is there any alternative treatment?
There are no pills or tablets that can be used to change the shape of the nose.Very rarely an injectable skin filler might be helpful for small refinements in the shape of the nose.
In some cases a patient’s wish for rhinoplasty may be related to a disorder of body image (body dysmorphic disorder). These patients should not have surgery and should be offered a referral to a psychiatrist.
Source ENT : UK
To access the original patient information leaflet on Rhinoplasty, visit the ENT UK website where you will find a wealth of information on conditions and procedures relating to ENT.