Rhinoplasty Recovery Guide 👃 - 1 - Emergencies

Emergency and non-emergency situations after the rhinoplasty operation

In general, emergency situations that can be experienced after rhinoplasty surgery can be summarized as follows:

Nosebleed, epistaxis
- Bleeding in the nostrils or in the form of a nasal discharge
- The appearance of silicone splints (usually nothing is done except splinting)
- The removal of external thermoplastic splint (no problem if it does not go out in the first few days)
Apart from these, our patients were mistakenly multiplying their noses or lying on the first days. It is important for you to be satisfied with your lifelongness to pay attention to the recommendations given to you after the surgery.
- Color change at the tip of the nose and tissue damage due to tight bandage (deterioration of tissue feeding) (I have not seen it until now).

Rhinoplasty, commonly known as a nose job, is a transformative cosmetic procedure that can enhance both aesthetic appeal and functionality. While the majority of rhinoplasty procedures are successful, it's essential for individuals to be aware of potential post-operative situations, distinguishing between emergency and non-emergency scenarios.

Understanding the Recovery Process

Before delving into emergency and non-emergency situations, it's crucial to understand the general recovery process after rhinoplasty. Patients can expect swelling, bruising, and discomfort, which are typical aspects of the healing journey. Following the post-operative care instructions provided by the surgeon is paramount for a smooth recovery.

Non-Emergency Situations

It is normal to see the following conditions after nasal surgery (non-urgent situations):

- Dripping and leaking bleeding from the nostrils in the front and nasal region
- Swelling and morrow on the underside of the eyes and nose. This can happen for the first 3 days.
- A small amount of hemorrhagic area is visible from the inside of the eye (if the nasal bone fracture is performed from the outside, it is made from this region)
- Especially 5-6. day nasal obstruction (due to closure of splints inside the nose)
- After the first week, bruising in areas with bruises
- Silicone splints have sneezing attacks due to nasal hair contact (simple allergy pills containing antihistamines can be used if sneezing attacks are frequent since bleeding can start)
- As the operation is performed under general anesthesia, nausea and vomiting (sometimes mixed with blood) can be seen in the postoperative 4 hour period (when the anesthetic drugs are destroyed by the body).
- Sometimes the nasal bandage and the external thermoplastic splint on the nose can spontaneously separate and lift through the skin. This is especially true in patients with fatty skin. Please do not remove the outer bandages and materials yourself on the nose without informing.
- The supplied swelling and bruising relieving gels (Arnica Gel or Etoflam-K Gel), and leave a brownish layer on the skin when dry. When Arnica Montana Flower juice dries out, this color is causing it. You can easily clean it with water and cotton.

I want to add diffirent information that "my some patients who planned to rhinoplasty in Istanbul with us, they asking the book travel insurance that "if something goes wrong in surgery and a patient needs emergency medical care, what is the process?" and in generally they say that "they will not cover medical emergencies for people who choose to have surgery abroad". I am glad to I never seen any serious emergency case after the rhinoplasty operation. Most frequently imergency is the nose bleeding and it can be generally stopped with some recommendations. You can stay in a hotel near my office. Other than that, the nosebleed risk is usually the highest in the first 10 days. Staying in Istanbul for 10 days can be convenient.

Swelling and Bruising

Expect mild to moderate swelling and bruising around the nose and eyes.

Apply cold compresses as recommended by your surgeon to alleviate swelling.

Pain and Discomfort

Mild pain and discomfort are common after rhinoplasty.

Take prescribed pain medication as directed by your surgeon.

Ensure that you get adequate rest to promote healing.


Nasal congestion is typical and may last for a few weeks.

Use saline nasal sprays or follow any specific instructions from your surgeon to ease congestion.

Follow-Up Appointments

Attend all scheduled follow-up appointments with your surgeon.

Discuss any concerns or questions during these appointments for personalized guidance.

Emergency Situations

Excessive Bleeding

While some bleeding is normal, persistent or excessive bleeding is a cause for concern.

Apply gentle pressure to the nostrils and contact your surgeon immediately if bleeding persists.

Severe Pain and Fever

If you experience severe pain or develop a fever, it may indicate infection.

Contact your surgeon promptly, and if necessary, seek medical attention.

Difficulty Breathing

If you have difficulty breathing that worsens over time, it could be a sign of a complication.

Contact your surgeon immediately for guidance.

Unusual Swelling or Discoloration

Sudden, severe swelling or discoloration may indicate a problem.

Reach out to your surgeon promptly for an evaluation.

Navigating the post-rhinoplasty period involves understanding the difference between expected discomfort and potential emergencies. Following your surgeon's post-operative instructions diligently and being vigilant about any unusual symptoms will contribute to a successful recovery. Remember, open communication with your surgeon is key to addressing concerns promptly and ensuring the best possible outcome from your rhinoplasty journey.

Dr.Murat Enoz Talks About "Emergencies After Rhinoplasty Operation"

Intubation Tube Trauma to the Middle Part of the Lower Lip During Nose Aesthetics Operation

Intubation Tube Trauma to the Middle Part of the Lower Lip During Nose Aesthetics Operation

During the rhinoplasty operation, as a general anesthesia procedure, an intubation tube is placed in order to protect the airways of the patients and to give the oxygen and other anesthesia gases they need. The intubation tube is usually located in the midline of the lower lip. For this purpose, various tapes are adhered to the patient's face and intubation tube. Various protective creams are applied to protect the eyes and lips of our patients from trauma and dryness. However, due to mechanical compression of the lower lip by the intubation tubes for 2 hours or more, some patients may develop midline superficial trauma to the lower lip, which usually heals within a few days. As in the patient above, a whitish pressure sore is seen in the midline of the lower lip. It is not an urgent health problem and it is sufficient to use only simple epithelial creams or lip sticks for a few days. In some patients, pain, swelling and bruising may occur in the soft palate region after the pressure of the intubation tubes on the soft palate. In this case, it is sufficient to increase oral fluid consumption, to eat a soft warm diet and sometimes to use local oral anti-inflammatory sprays.

Links you can find detailed information about the subject >>    Nose - rhinoplasty / Cosmetic surgery - Procedures - NHS Choices / Rhinoplasty and Nasal Surgery / Complications of Rhinoplasty - Medscape Reference
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

Private Office:
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47