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How Much Bruising Can I Expect Following Rhinoplasty?

How Much Bruising Can I Expect Following Rhinoplasty?

154016042 xs - How Much Bruising Can I Expect Following Rhinoplasty? | Beverly Hills | Los AngelesAs the focal point of the face, the nose can have a significant impact on a person’s overall appearance as well as their confidence level. Even small imperfections can greatly affect the way a person feels about his or her physical appearance. Plastic surgeon Geoffrey R. Keyes specializes in reconstructive nasal surgery and has many years of experience providing patients with the improved nose they desire without altering their natural appearance. For his patients in Los Angeles undergoing rhinoplasty, bruising is often a top concern. Patients have often heard that bruising is a common side effect of rhinoplasty surgery but are unsure how much bruising to expect and how long it will last. Dr. Keyes explains the typical bruising timeline following rhinoplasty so that his patients will have realistic expectations for recovery.

Bruising Following Rhinoplasty

The two most common side effects of rhinoplasty surgery are bruising and swelling. Because bruising is such a visibly obvious side effect, many patients have concerns about how much bruising can be expected during rhinoplasty recovery. Each patient is different and each rhinoplasty surgery is different, so no two patients will experience recovery in exactly the same way. The technique used during rhinoplasty and the degree of alterations to be made can affect how much bruising will result following surgery. Other factors that can affect bruising include how much bleeding occurs during surgery and even a patient’s skin tone. While there will be differences for each patient, in general, patients who have undergone rhinoplasty or septoplasty (a reconstructive surgery to treat a deviated septum) can expect bruising after surgery to roughly adhere to the following timeline:

  • The day of surgery: Most patients will begin to notice bruising almost immediately after surgery. The bruising that results from rhinoplasty typically develops underneath the patient’s eyes.
  • The first week following surgery: Bruising will be the heaviest in the first week following surgery. Patients can expect dark bruises underneath both eyes as well as significant swelling. Between the visible bruising and the strain of recovery, most patients will not feel comfortable being in the public eye during the first week of recovery.
  • Two to three weeks after surgery: By the second and third week following surgery most patients notice a significant fading in bruising. At this point, all incisions should be healed and it is safe to wear make-up. Any bruising that remains is often light enough to be camouflaged by make-up at this point.
  • Four weeks following rhinoplasty: By four weeks after rhinoplasty the majority of patients will be free of bruising, and swelling will have greatly subsided. By this point, patients should have a good idea of the results of surgery.

As with any cosmetic surgery, the best way to ensure a quick and smooth recovery is to allow for plenty of rest and to adhere to all post-surgical care instructions. In this way, patients can ensure that the nose heals properly after rhinoplasty surgery and that bruises fade in a timely manner.

Schedule an Appointment

Rhinoplasty surgery will result in visible side effects throughout the recovery period. However, most patients find that the aesthetic results of surgery are well worth the required downtime. If you are interested in learning more about rhinoplasty surgery, schedule an appointment with Dr. Geoffrey Keyes at your earliest convenience. We look forward to meeting you!

Internal and External Splints after Rhinoplasty

15955075 xs - Internal and External Splints after Rhinoplasty | Beverly Hills | Los AngelesNasal splints are part of recovery from nasal surgery. They can be placed on the outside or the inside of your nose to protect it during the healing process and to maintain the nose’s new shape.

You can expect to have splints during either rhinoplasty or septoplasty:

  • Rhinoplasty, also called nose surgery, is surgery that changes the shape of the nose, either for appearance or to improve the function or both.
  • Septoplasty is corrective surgery to straighten the nasal septum, the partition between the two nasal cavities. This irregularity in the septum is called a deviated septum.

What do Splints Do?

Splints are used to immobilize the bones and tissue as well as minimize scar tissue. They also control bleeding and swelling. Perhaps most importantly, splints help maintain the nose’s new shape.

External Splints

External splints are commonly used for rhinoplasty or nasal contouring procedures. When used, a special tape is first applied to the nose. The tape protects the skin and decreases the amount of swelling. Then a custom splint is added.

Controlling swelling is important to avoid a blood pocket (hematoma) from developing between the skin and the nasal framework. If a hematoma develops, the blood is eventually replaced by scar tissue, which can distort the nose.

The splint also works to protect the nose and hold the nasal bones in position during the healing process, helping maintain the nose’s new shape. Splints also protect the nose from injury.

Internal Splints

Internal splints may or may not be used during nasal surgery. They are more commonly used after a septoplasty, in which a deviated septum is corrected.

Internal splints support the septum during the healing process. Internal splints also help control bleeding by compressing the skin and mucous membrane. By maintaining contact between the lining of the nose and the bone and cartilage, splints encourage the nasal lining and internal structures to heal together.  

What Are Nasal Splints Made Of?

Splints are made of a variety materials, including silicone, aluminum and other materials. An appropriate splint based on your needs will be used.

When Are Splints Removed?

The location and extent of surgery will determine how long splints are left in place. Typically, external splints are removed after about two weeks. Internal splints may be removed between three and five days after surgery.

What if a Splint Becomes Loose?

Rarely, a nasal splint can become loose during the healing process. We ask that you call our offices if this happens. However, we find that if it happens, it typically occurs when the splint is ready to be removed anyway. Please call our offices if you have symptoms that concern you.  

Does Removing Internal Splints Hurt?

We find most of our patients do not complain about pain during removal of internal splints, though there is a broad range of responses. Most comment about a “strange” sensation and some brief discomfort.

With internal splints, patients who follow treatment recommendations about using a saline nasal spray and the appropriate ointment in the nostrils to reduce crustiness experience less discomfort.

Have Questions?

If you are considering nasal surgery and have questions about surgery and recovery, please call us so that we can sit down and discuss your concerns, providing answers relevant to your unique situation.