Managing and Preventing Bruising After a Complicated Rhinoplasty
Bruise According to Days After Complicated Rhinoplasty and What to Do Preventive Measures
➤ In the cases of nasal aesthetic surgeries, ocular perforation and facial edema can occur in varying amounts depending on the tissue trauma being performed, the technique used, the duration of the surgery, the healing properties of the person and the care that the patient has undergone. The "bruises after nasal surgery" are usually seen in the first few days, and the bruises are removed from the bruises in 7-14 days, depending on the above factors.
➤ Patients who have trapezium in the nasal bones and have excessive rasp and bone crushing to correct asymmetric bones are naturally more likely to have bruises and edema after nasal surgery. "When will the bruises pass after nose surgery?" or when the question "When is the swelling after nose surgery?" is in fact very much related to the amount of bone breaking and bone shaping procedures. Despite cold after surgery and all the necessary precautions, swelling and bruising may take longer in patients with multiple planned bone fractures in the nasal bones. In limited nose rasping + nasal aesthetic procedures, there is little or no under-eye purple in the eye, where you can find pre- and post-nasal rasping images.
➤ Regular cold application after nasal aesthetic surgery, elevation of the head, avoidance of blood pressure increasing movements, avoiding the drugs and foods affecting bleeding time, "cream for bruises after nose surgery" and other "drugs for post-nasal bruising" are useful. Especially we use Arnica gel and Enfla-C tablet frequently; Auriga Auriderm XO Gel, and Bioderma Cicobacio Cream are also available.
➤ "Permanent bruising after nose surgery" or "swelling after nose surgery, permanent bruising under the eyes" can rarely be trapped around the eyes of the eye and the dark appearance under the eyes can be easily discernible, especially if the skin texture is fine in these patients. Good news is not to be permanent. The bad news is that it can last up to 6 months ... that is, the phrase "persistent bruise after nasal aesthetic" is a bit exaggerated, but it would be more correct to correct it as "long bruise after nasal aesthetic". Dark circles under the eyes are a common complaint that patients experience during the recovery phase of rhinoplasty. In most cases the dark rings are diminished, but it is a gradual process that can last for several months. Most patients think that the appearance of the elongated dark circles, especially under the eyes, is a permanent condition, thinking that "under-eye bruises have not gone through post-nasal surgery". Unfortunately, you may have to wait for six months. In this process you can only use make-up products in the under eye area.
➤ "How to resolve swelling after nose surgery?" or "How do I get rid of edema after nose surgery?" In response to the question, you can find in the following links that I wrote in advance about the cold application, the use of bruise - edema products, the use of the sleeping position to keep the upper part of the body high and other precautions.
➤ The phrase "bruise-free nose aesthetics" is a bit exaggerated and scientifically distant expression, especially in patients with bone-related procedures. During the operation of nasal aesthetics, when the patient is being treated for bone fracture, cold serum washing, low blood pressure of the patient, intravenous administration of cortisone hormone, use of techniques to reduce tissue damage in bone fracture reduces the amount of "bruising and swelling after nasal aesthetics" it is called "nose aesthetics without bruise and swelling", which leads to the use of deceit or an unscientific expression. This phrase is said to be used only for fillings and nasal aesthetics or medical nasal aesthetics abroad (even when a nasal filling is being made, it may be seen as a result of coincidence of fine needles with a superficial stem). You can find phrases about "The No-Knife nose job" for advertisements on foreign websites ... again the phrase "nose arousal without breaking the bone" should not be perceived as a suitable method for every patient.
Undergoing rhinoplasty, a surgical procedure to reshape the nose, can be a life-changing experience. Whether it's for cosmetic reasons or to address breathing difficulties, rhinoplasty can help you achieve the nose you desire. However, like any surgical procedure, rhinoplasty can result in post-operative bruising, especially in cases of complicated or extensive surgeries. In this comprehensive guide, we will explore everything you need to know about managing and preventing bruising after a complicated rhinoplasty.
Understanding Rhinoplasty
Rhinoplasty, often referred to as a "nose job," is a surgical procedure aimed at altering the shape, size, or functionality of the nose. There are two primary categories of rhinoplasty:
Cosmetic Rhinoplasty: This type of rhinoplasty is performed to improve the aesthetic appearance of the nose. Patients may seek cosmetic rhinoplasty to address concerns such as a hump on the bridge of the nose, a crooked or misshapen nose, or to refine the nasal tip.
Functional Rhinoplasty: Functional rhinoplasty is performed to correct structural issues within the nose, which may be causing breathing difficulties. This type of rhinoplasty is often recommended for individuals with a deviated septum or other obstructive nasal conditions.
While both types of rhinoplasty share some similarities in the surgical approach, the extent of the procedure and the potential for post-operative bruising can vary significantly. Complicated rhinoplasty procedures, which may involve extensive reconstruction, osteotomies (cutting and reshaping of bone), and grafting, often pose a higher risk of bruising due to the increased tissue manipulation.
Post-Operative Bruising: What to Expect
Post-operative bruising is a common occurrence after any surgical procedure, including rhinoplasty. The extent and duration of bruising can vary from patient to patient and can be influenced by several factors, including the complexity of the procedure, individual patient characteristics, and the surgical technique used. Here's what you can expect in terms of bruising following a complicated rhinoplasty:
Immediate Bruising: Bruising typically appears immediately after the procedure and may be quite pronounced in the days following surgery.
Duration: The duration of bruising can vary but usually subsides significantly within the first week to ten days post-surgery. Some residual discoloration may persist for several weeks.
Color Changes: Bruises often progress from red or purple to blue, green, and yellow as they heal.
Location: Bruising can occur on the external part of the nose as well as in the surrounding areas, including the eyes and cheeks.
Severity: The severity of bruising can range from mild to extensive, depending on the individual patient and the surgical technique employed.
Swelling: Bruising is often accompanied by swelling, which is a normal response to surgical trauma. Swelling and bruising may peak at around 48 hours post-surgery and gradually improve.
Preventive Measures for Managing Bruising
While some degree of bruising is expected after a complicated rhinoplasty, there are several measures that can be taken to manage and minimize its extent and duration. Here are some effective strategies:
Choose an Experienced Surgeon: Selecting a board-certified, experienced rhinoplasty surgeon who is well-versed in advanced surgical techniques can significantly reduce the risk of extensive bruising. Surgeons with expertise in complicated rhinoplasty procedures can often perform surgeries with a focus on minimizing trauma to the surrounding tissues.
Discuss Your Concerns: During your pre-operative consultations, express your concerns about bruising with your surgeon. They can provide insights into their surgical approach and discuss any specific measures they plan to take to minimize bruising.
Follow Pre-Operative Instructions: Your surgeon will provide you with pre-operative instructions, which may include dietary recommendations and medications to avoid in the days leading up to surgery. Following these instructions can help reduce the risk of excessive bleeding during the procedure.
Limit Blood-Thinning Substances: In the weeks leading up to surgery, it's advisable to avoid or limit the consumption of substances that can thin the blood and increase the risk of bleeding and bruising. These may include alcohol, certain herbal supplements, and non-prescription pain relievers like aspirin and ibuprofen.
Arnica Montana: Some patients and surgeons find that Arnica Montana, a homeopathic remedy available in various forms (tablets, gels, creams), can help reduce post-operative bruising and swelling. However, its efficacy varies from person to person.
Cold Compresses: Applying cold compresses to the surgical area can help reduce swelling and minimize the extent of bruising. Your surgeon will likely provide guidance on when and how to use cold compresses.
Keep Your Head Elevated: Sleeping with your head elevated can help reduce blood flow to the head and minimize post-operative swelling and bruising.
Maintain Good Overall Health: Staying in good health leading up to the surgery can facilitate the body's healing process. A well-balanced diet, proper hydration, and adequate rest can contribute to a smoother recovery.
Avoid Strenuous Activities: Following the surgery, it's essential to avoid strenuous physical activities that can increase blood flow to the surgical area. Your surgeon will provide guidance on when it's safe to resume regular activities.
Post-Operative Management of Bruising
While preventive measures can reduce the risk of extensive bruising, it's essential to manage bruising effectively during the post-operative phase. Here's how to deal with bruising after a complicated rhinoplasty:
Rest and Recovery: Adequate rest and minimal physical exertion are essential during the immediate post-operative period. Follow your surgeon's guidelines on activity restrictions to prevent any additional trauma to the surgical site.
Cold Compresses: Applying cold compresses in the days following surgery can help reduce swelling and alleviate bruising. Be sure to use them as directed by your surgeon.
Medications: Your surgeon may prescribe medications to manage post-operative pain and inflammation. These medications can also contribute to reducing bruising.
Arnica Montana: If you've chosen to use Arnica Montana, continue following the recommended regimen for the specified duration to help manage bruising and swelling.
Gentle Cleansing: Follow your surgeon's instructions for keeping the surgical area clean to prevent infection. Be gentle while cleansing to avoid any unnecessary trauma.
Avoid Sun Exposure: Sun exposure can worsen the appearance of bruising, so it's advisable to protect your surgical site from direct sunlight.
When to Seek Medical Attention
While bruising is a common and expected part of the recovery process after a complicated rhinoplasty, there are instances when it's important to seek medical attention. Contact your surgeon if you experience any of the following:
- Excessive bleeding or drainage from the surgical site.
- Severe pain that does not respond to prescribed pain medications.
- Signs of infection, such as increasing redness, swelling, or discharge.
- Worsening bruising beyond the expected recovery timeline.
- Any concerns or questions about your recovery.
Patience and Perspective
It's important to remember that bruising, while an expected part of the healing process, is temporary. With time, patience, and adherence to your surgeon's recommendations, the bruising will gradually improve. The ultimate goal of a complicated rhinoplasty is to achieve the desired results, which often outweigh the temporary inconvenience of bruising.
Managing and preventing bruising after a complicated rhinoplasty is a critical aspect of the post-operative recovery process. By following the guidance of an experienced surgeon, taking preventive measures, and managing bruising effectively, you can experience a smoother and more comfortable recovery. Always keep the lines of communication open with your surgeon to address any concerns or questions that may arise during the healing process. Ultimately, the benefits of a successful rhinoplasty will far surpass the temporary inconvenience of post-operative bruising.
Link group where you can read my previously published articles about rhinoplasty postoperative care >> https://www.ent-istanbul.com/search?q=rhinoplasty+postoperative+care
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
Fax: +90 212 542 74 47
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