Rhinoplasty Recovery Guide 👃 - 22 - When Should External Nasal Splint Be Taken Off After Rhinoplasty?

When Should The External Nasal Cast  Be Removed After Nose Job?

When should nasal cast be taken after rhinoplasty?

 

Rhinoplasty, commonly referred to as a nose job, is a popular cosmetic procedure aimed at altering the shape and functionality of the nose. One critical aspect of post-operative care involves the external nasal splint, a device used to support the nose during the initial stages of healing. Knowing when and how to remove this splint is essential for ensuring optimal results and avoiding complications. 

Nose splints of different structures are placed in the form of a mold on the nasal bone after the nose aesthetic surgery and sometimes nasal rasping. I usually external silicone based splint called that, "External Thermal Splint" or "Thermoplastic Nasal Splint" which allowing skin to the air transfer with holes, which softens throw them in hot water and would prefer to use the nasal splint hardens on contact with cold water.

External thermal splints soften when they are placed in hot water and take the mold of the nasal bone after being placed on the nose. Thereafter, the splint hardens upon pouring cold water and does not change its shape again. Nasal splints are useful in fixing nasal bones, reducing nasal edema, and protecting the nose against traumatic side trauma. In addition to the external splint, aluminum-based and classical gypsum-shaped nasal splints and nasal splints are available in the newly produced titanium structure.

It is generally appropriate to hold the nose splints for 7-10 days. It is very easy to remove and painless.

What Should Be Done If Nose Cast Falls Off or Displaces On Its Spontaneity? 

Especially in patients with thick and oily skin, the tapes and cast (or lateral nasal splint) placed on the nose may spontaneously come off or be removed before the doctor's control appointment. In this case, there is no need to worry, if it is not completely dislodged, you can slow down its fall completely by sticking horizontal tape on the cast and talk to your doctor. The tapes between the cast and the nose should not come into contact with water or a similar liquid and the tapes should be prevented from moving. It is not important that the cast stays in place for at least 5 days after the rhinoplasty operation and then slowly rises forward and comes out on its own. After the 7th day, the cast will be removed by your surgeon. 

The patient above stated that the aluminum cast placed on the nose started to separate spontaneously 2 weeks after the rhinoplasty operation, and in the side photo of the liner, it can be seen that the cast starts to come off and fall forward. It is not a very important situation, it will be enough to re-insert the tape and cast.

"Placing a Nasal Bandage and Thermoplastic Nasal Splint After Rhinoplasty" video

Understanding Rhinoplasty and the Role of the External Nasal Splint

What is Rhinoplasty?

Rhinoplasty is a surgical procedure that modifies the nose's shape, size, and structure. It can be performed for both cosmetic reasons, such as improving appearance, and functional reasons, like correcting breathing problems or repairing deformities caused by injury.

Types of Rhinoplasty

• Open Rhinoplasty: Involves an incision across the columella (the tissue between the nostrils), allowing the surgeon to lift the skin and have a clear view of the nasal structures.
• Closed Rhinoplasty: All incisions are made inside the nostrils, resulting in no visible scarring.

The Purpose of the External Nasal Splint

The external nasal splint is typically made of thermoplastic or aluminum, designed to fit snugly over the nose. Its primary functions include:

• Supporting the Nose: Provides structural support to the newly shaped nasal bones and cartilage.
• Minimizing Swelling: Helps reduce post-operative swelling by compressing the tissues.
• Protecting the Nose: Shields the nose from accidental bumps and pressure during the critical initial healing phase.

Timing for External Nasal Splint Removal

General Timeline

The external nasal splint is usually removed 7 to 10 days after rhinoplasty. However, this timeframe can vary depending on several factors, including the complexity of the surgery, the patient's healing rate, and the surgeon's preference.

Factors Influencing Splint Removal Timing

1. Type of Surgery: More extensive surgeries, such as those involving significant bone work, might require the splint to stay on longer.
2. Healing Rate: Individual healing rates can vary. Patients with faster healing might have their splints removed earlier, while those with slower healing may need extended splint support.
3. Surgeon’s Protocol: Different surgeons have varying post-operative care protocols. Always follow the specific instructions provided by your surgeon.

Signs That the Splint Should Be Removed

• Reduced Swelling: Significant reduction in nasal swelling.
• Stable Nasal Structure: The nose feels firm and stable upon gentle touch.
• Clear Skin Condition: No signs of infection or skin irritation under the splint.

The Removal Process

Professional Removal

It is highly recommended to have the external nasal splint removed by your surgeon or a medical professional. During a follow-up visit, the surgeon will:

1. Assess Healing: Check the overall healing progress and the condition of the nose.
2. Gently Remove the Splint: Carefully take off the splint to avoid any discomfort or damage to the healing tissues.
3. Clean the Area: Clean the skin to remove any adhesive residue and inspect for any issues such as irritation or infection.

At-Home Removal (Not Recommended)

If you must remove the splint at home due to unforeseen circumstances, follow these steps:

1. Consult Your Surgeon: Seek guidance and approval from your surgeon before attempting to remove the splint.
2. Soften the Adhesive: Use a damp cloth with warm water to gently soften the adhesive around the edges.
3. Slow Removal: Carefully peel the splint away from the nose, avoiding any sudden movements.

Post-Splint Removal Care

Immediate Care

After the splint is removed, the nose will still be in a delicate state. Immediate care includes:

• Avoiding Pressure: Do not put pressure on the nose or wear glasses that rest on the nasal bridge.
• Gentle Cleansing: Use a mild cleanser to keep the nose clean, avoiding harsh scrubbing.
• Hydration and Moisturization: Keep the skin moisturized to promote healing.

Long-Term Care

1. Sun Protection: Protect your nose from sun exposure by using sunscreen or wearing a hat.
2. Avoiding Trauma: Be cautious to avoid any trauma to the nose, such as rough play or contact sports.
3. Follow-Up Visits: Attend all scheduled follow-up visits with your surgeon to monitor healing progress.

Managing Swelling and Bruising

• Cold Compresses: Apply cold compresses to the cheeks (not directly on the nose) to reduce swelling.
• Elevation: Keep your head elevated, especially while sleeping, to minimize swelling.
• Diet: Maintain a healthy diet rich in vitamins and minerals to support the healing process.

Potential Issues and How to Address Them

Prolonged Swelling

If swelling persists beyond the expected period, consult your surgeon. They might recommend anti-inflammatory medications or additional interventions.

Infection

Signs of infection include increased redness, warmth, discharge, or fever. Immediate medical attention is necessary if these symptoms occur.

Irregular Healing

If the nose appears asymmetrical or if there are concerns about the shape, a follow-up consultation with the surgeon is crucial. Sometimes, minor touch-up procedures might be necessary.

Scar Tissue Formation

Massaging the nose gently, as directed by your surgeon, can help prevent or reduce the formation of scar tissue. Follow any specific instructions provided for post-operative care.

Patient Experience and Tips

Personal Stories

Many patients report a mix of excitement and anxiety when it's time to remove the splint. It's normal to feel nervous about the first glimpse of your new nose. Remember that initial appearance will improve as swelling continues to subside.

Tips from Experienced Patients

• Stay Calm: Trust the process and your surgeon's expertise.
• Be Patient: Healing takes time, and the final results might take several months to fully manifest.
• Follow Instructions: Adhering to post-operative care guidelines is crucial for the best outcomes.

FAQs About External Nasal Splint Removal

1. Is removing the nasal splint painful?

Most patients experience minimal discomfort during splint removal. The process is generally quick and gentle.

2. What should I expect immediately after splint removal?

You may notice some residual swelling and minor bruising. The nose might look different from the final expected result, as full healing takes time.

3. Can I wear glasses after the splint is removed?

It's best to avoid wearing glasses that rest on the nasal bridge for several weeks after splint removal. Consider using glasses with an alternative support or consulting your surgeon for specific recommendations.

4. How can I reduce swelling faster after splint removal?

Continue using cold compresses, keep your head elevated, and avoid salty foods which can increase swelling.

5. What if I accidentally bump my nose after the splint is removed?

Contact your surgeon immediately if you experience significant pain or notice any deformity after bumping your nose. They can assess whether any damage has occurred.

The external nasal splint is a crucial component in the post-operative care of rhinoplasty patients, providing necessary support and protection during the early stages of healing. Understanding when and how to remove the splint is vital for achieving the best possible surgical outcomes. Always follow your surgeon's guidelines and attend all follow-up appointments to ensure proper healing and address any concerns promptly. With patience and careful attention to post-operative care, you can enjoy the full benefits of your rhinoplasty procedure and the enhanced appearance and functionality of your nose.

You can find more detailed links here >>   A Study of External Nasal Splints used in Nasal Bone ... / Does the Splint Affect Rhinoplasty Results? / Effect on nasal resistance of an external nasal splint and ...
   

The information in this guide was prepared by Dr.Murat Enöz for patients who underwent rhinoplasty. 
You can find different opinions and suggestions from other clinics and doctors. Please take into consideration 
the recommendations of the doctors who performed your aesthetic nose surgery. Sometimes drug names given here 
only in Turkey may also belong to the drugs found. Plenty of luck :)

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
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