Rhinoplasty Surgical Process
The following is an example of the typical schedule involved with a revision rhinoplasty with Dr. Frankel. Of course all cases are different and therefore this may not be the case for every surgery… is merely a guideline.
Prior to surgery some lab work will be requested and possibly a letter of medical clearance from your internist. Two weeks before the scheduled date it is important to avoid taking certain medications, vitamins and herbs that may cause you to bleed more than normal; a list of what to avoid will be given to you by our office.
It is also best to avoid alcohol and very salty foods for three days before surgery to prevent your skin from retaining fluid and swelling. After you go to sleep the night before surgery do not eat or drink anything except medicines with a small sip of water.
The morning of surgery you will have your own private room at the clinic where you will again have a chance to speak with Dr. Frankel about your operation. You will also meet your anesthesiologist. A family member or friend is encouraged to accompany you. After surgery you will recover at the clinic and then someone will accompany you home or to your place of recovery for the evening. Ice compresses and occasional changing of the dressing will be necessary but otherwise there will be very little that needs to be done.
Dr. Frankel may or may not need to see you the day following surgery. In recent years he has discontinued the practice of routinely packing the nose. If there is a dressing on the ear(s) then this would be removed on the 3rd day after surgery.
The first couple of days following surgery will be uncomfortable but not necessarily painful. Revision rhinoplasty is often less painful and associated with less bruising than a primary operation. Pain medicine and antibiotics will be prescribed as well as other medicines that may be helpful, such as saline spray for the nose. You will be able to function around the house but will need to avoid heavy lifting, bending over or exertion.
The splint and any stitches are usually removed on day six or seven and after that it is just a matter of allowing the bruising and swelling to dissipate fully. Bruising goes quickly and usually you will feel good enough to be social by the tenth day or so. You will already look better than before surgery after two weeks, but you will continue improving for many months. Revision surgeries often stay swollen longer and it may take up to a year for the nose to reach it’s baseline. Dr. Frankel will follow you throughout the post operative course and then some. If intranasal stents were placed during surgery then they will be removed at one or three weeks post operatively. These stents do not cause pain and are not painful to remove but they do result in increased swelling for the first 3-6 weeks post operatively.