The following instructions are given to Dr. Grigoryants’ patients after rhinoplasty. These instructions may be modified for each patient depending on what was performed during surgery.
First day after surgery: Keep you upper back elevated 30-40 degrees. Apply cold compress (cloth soaked in cold water or crushed ice in a glove placed over a cloth) during the first 24 hours. Avoid applying anything frozen directly on the skin. Start taking antibiotics (prescribed by Dr. Grigoryants) the same evening and prescribed pain and nausea medications as needed (read instruction labels on the medications).
Facial swelling tends to get worse during the first 3 days after surgery and improves by the fifth day after surgery. Call Dr. Grigoryants’ office to schedule your postoperative appointment 5-7 after surgery.
Starting day 3 : Start cleaning the bottom of the nose gently using cotton balls or facial tissue soaked in warm water. Apply Vaseline on the rims of the nostrils once a day. Do not put Q-tips inside the nose.
Day 5-7: Dr. Grigoryants will remove your splints and sutures if nostrils were narrowed. Having the nostrils lubricated with vaseline prior to the appointment makes suture removal less uncomfortable. Dr. Grigoryants does not use nasal packing.
- Irrigate the nose with saline spray (also known as Ocean spray). Apply Vaseline inside the nose at night for two weeks using a corner of an open paper napkin rolled into a cylindrical shape (Q-tips are too stiff and my cause injury ). Sutures and dry secretions/dry blood will come out. Breathing will improve.
- Tape your nose only at night. Although taping will not affect the final result, it will help minimize swelling that develops overnight during the early postoperative period.
- Avoid alcohol and blood thinners (aspirin, motrin, advil, excedrin, naproxen, ibuprofen, vitamin E, fish oil, omega 3 fatty acids, herbal supplements ) for 2 weeks after surgery.
- Showers, make up, facial creams can be restarted.
Nose blowing: Can be started gently 2 weeks after surgery.
Driving: You may drive when facial swelling is not impairing vision and you are no longer taking pain medications.
Exercises: Avoid bending for 2 weeks after surgery. Exercises can be resumed 1 month after surgery.
Swimming: Swimming with submerging head in the water can be started 2 months after surgery.
Sun exposure: You may be in the sun but avoid prolonged exposure. Use a hat to protect your nose.
Pore strips: May be resumed 3 months after surgery.
Unpleasant smell in the nose: May occur in some patients after rhinoplasty and will go away over time.
Stiff upper lip and smile: Usually resolves by 2-3 months after surgery.
Flying on airplanes: You may fly 7 days after surgery. Dr. Grigoryants will review special in-flight care instructions with you.
If you have additional questions, please contact Dr. Vladimir Grigoryants at 818 952-7070 or via email at email@example.com