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Dr. Vladimir Grigoryants reviews swelling after rhinoplasty

Wednesday, August 14th, 2013

Patient undergoing rhinoplasty need to be prepared to experience different staging of swelling.
Unfortunately, there is no way to have rhinoplasty without swelling and take more time for swelling to resolve after rhinoplasty than after other plastic surgical procedures. Swelling after closed rhinoplasty tends to resolve faster than after open rhinoplasty.

1. Onset of swelling. Swelling develops around the nose and upper face day 1-3 after surgery and tends to look more pronounced during these first 3 days. This usually happens in patients who had work on the nasal bones.

2. Splint Removal . In our practice, the splint comes off on day 5-7 after surgery. At this stage, most of pronounced swelling around the eyes has improved. There may be swelling in the bridge of the nose, face, and upper lip. Noticeable facial swelling improves fast over the next 7-10 days. The upper lip may appear longer and the smile may feel stiff. This resolves gradually within 30-60 days. The tip may look more upturned and it will come down over the next 7-14 days.

3. Upper part of the nose. Although the entire nose will be gradually shrinking and softening, swelling in the upper part of the nose will be resolving faster. By 30-60 days after surgery most upper nasal swelling will subside and the skin will feel soft in the upper part of the nose.

4. The tip. Although one may read online that it takes one year for all nasal swelling to go away, the reality is that it takes several years for all swelling to go away before you can see the final shape. At the end of the first year after surgery, the patients are likely to see 85-90% of swelling resolution and by the end of the second year almost all of swelling will resolve. Patients with think nasal skin may take longer to heal. Once nasal tip swelling resolves, the tip feels softer and tip cartilages become more visible and easier to feel.

To learn more about rhinoplasty with Dr. Vladimir Grigoryants, visit our rhinoplasty page.

Preparing for Plastic Surgery

Friday, November 21st, 2008

An important aspect of having a successful outcome following plastic surgery is preoperative preparation. As part of a preoperative visit, a surgeon will discuss instructions as to what to do and not to do before surgery.

Thirty days before surgery Depending on the patient’s age and presence of medical problems, some patients may need to undergo a preoperative medical clearance which is performed by the patient’s primary care physician or cardiologist. It is important not to smoke before surgery and during the healing period after surgery. For Los Angeles Facelift, tummy tuck, and other plastic surgery procedures, smoking  decelerates the healing and increases the risk of complications. There is no clear evidence as to how long the patient should not smoke prior to surgery. However, many physicians recommend avoiding smoking for at least a month prior to surgery.

Two to three weeks before surgery The surgeon will review patient’s medications and instruct which medication should be continued and stopped. Blood thinners such as aspirin, plavix, coumadin, ibuprofen and other non-steroidal anti-inflammatory (NSAIDs) medications would need to be stopped at least 10-14 days before surgery. In most patients, medications for blood pressure, diabetes, thyroid problems can be continued. Many dietary and herbal supplement need to be stopped 2-3 weeks prior to surgery as they may increase bleeding and bruising. Some these common supplements include Ginkgo, Ginseng, Garlic, Vitamin E, Fish oil (Omega 3 Fatty acids). Alcohol should also be avoided at least 2 weeks prior to surgery as it may also increase bleeding. Many weight loss medications may interfere with anesthesia and should also be stopped 2 weeks prior to surgery. Birth control pills may increase the risk of deep vein thrombosis (blood clots in legs) especially in longer operations such as Los Angeles tummy tuck, large volume liposuction, and other Los Angeles body contouring procedures. Many Los Angeles Plastic surgeons may recommend stopping births control pills two weeks prior to surgery. For shorter procedures such as Los Angeles rhinoplasty or breast augmentation, birth control pills can be continued.

Day before surgery The day before surgery, the patient should review all preoperative and postoperative instruction sheets, including the directions to the hospital/surgical facility and the time of arrival. For same day surgery, the patient needs to have an adult person take the patient home and have someone take care of the patient at home during the initial postoperative period. Eight hour prior to surgery, the patient needs to stop eating or drinking. The morning of surgery, the patient can brush his/her teeth and take a shower while avoiding using body lotions or deodorants.


Dr. Grigoryants Los Angeles cosmetic surgeon provides plastic surgery services throughout Southern California including Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley.

Our Plastic Surgery center in Glendale, Los Angeles, California specializes primarily in Cosmetic Plastic Surgery inclding breast enlargement, breast augmentation, breast implants, liposuction, tummy tuck, abdominoplasty, cosmetic facelifts, rhinoplasty (nose surgery, nose job), Forehead Lift, Eyelid Surgery and other body contouring procedures. The center led by an expert Los Angeles Plastic and Cosmetic Surgeon. As a board certified Los Angeles plastic surgeon, Dr. Grigoryants is dedicated to providing high quality yet affordable cosmetic plastic surgery options to Los Angeles patients and being the best plastic surgeon in Los Angeles, Glendale, Pasadena, Beverly Hills.

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