EXPERT Q&A

Q: Do I have to have a cast on my nose after a rhinoplasty?

What our experts say:

Rhinoplasty that involves changes in the bone structure usually requires a splint or cast because the nose bones are broken and moved.  The patient will have a splint or cast in place for 7 to 10 days to ensure the bones are sticky and in place and secure before the cast is removed.  If just the tip of the nose is adjusted, then a cast or splint is usually not necessary; and usually the nose is just taped.  Recovery will vary with the specific surgeon.  Generally speaking, if there are nasal packs (which is the worst part because you can’t breathe out of your nose) you will have them 2 to 7 days, and a cast for 7 to 10 days if nose bones were broken.  The worst thing with rhinoplasty is that, although you will see some shape changes while recovering, swelling occurs right away and takes a long time to resolve.  You won’t see the final result until 6 to 12 months in the future.  You have to be very patient. The most annoying thing is that the nose is stuffy afterwards and the swelling shifts around like when you have a cold.  Occasionally, nose bleeds can occur in the first 2 weeks; and you can’t strain or lift anything heavy. You have to be gentle with your nose. It’s very fragile afterwards.  Most surgeons don’t let you wear glasses for 3 to 6 weeks if the nose bones were adjusted. 

HERTE MARY SW REV

Dr. Mary Herte

Plastic Surgeon

Las Vegas, Nevada

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