• Every operation, no matter how minor, is accompanied by swelling of the surrounding tissues.

• The amount of swelling varies from one person to person.

• swelling is due to the new tissue fluids brought into the area by the body to promote healing.

• The increased blood supply to the region is responsible for the pink color of the skin and "discoloration” associated with surgery.

• When these healing fluids are no longer required, the tissues release them, and they are absorbed through the bloodstream.

• As this occurs, the nasal congestion will gradually improve.

• The swelling will gradually increase, reaching its peak on the third day

• This is not serious and is not an indication that something is going wrong with your operation.

• Minor swelling may persist for several weeks.

• The main thing to remember is such swelling eventually subsides.

You can help the swelling subside in several ways:

• Avoid bending over or lifting heavy things for one week. Besides aggravating swelling, this may raise the blood pressure and start bleeding.

• Avoid hitting or bumping your nose for at least one week following surgery. It is not wise to pick up small children who may inadvertently bump your nose.

• Sleep with the head of the bed elevated, you should rest with your head elevated with at least 2 pillows for the first 2 days after surgery

• We recommend you use ice compresses applied in an inverted “v” across the top of the nose and covering each eye as much as possible during the first two days after surgery.

• Avoid sunning the face for prolonged periods for one (1) month; ordinary exposure is not harmful.

• Do not tweeze the eyebrows for one (1) week.

• When bathing, avoid getting the nasal dressing wet; if it becomes loose let us know.

• You may gently blow or sniff your nose the third day after the operation. Do not push on the nose when blowing. Blow gently through both sides at the same time.

• Avoid constantly rubbing the nostrils and base of the nose. Not only will this aggravate the swelling, but it could cause infection, bleeding, or the accumulation of excessive scar tissue inside the nose. Use a mustache dressing instead if the discharge is excessive.

• Report any excessive bleeding that persists after using a nasal spray and sitting up for 15 minutes.

• Following surgery, it is not unusual to have varying amounts of discoloration about the eyes.

• Like swelling, the discoloration may become pronounced one (1) to two (2) days after surgery.

• It usually does not last for more than a week, all the while decreasing in intensity.

• measures that help swelling to subside will also help discoloration.

• You can expect more mucous drainage for several days after surgery

• it may be blood- tinged and should cause you no concern unless the drainage becomes bright red and flows heavily.

• If hemorrhage does occur, go to bed, use a decongestant nasal spray, and elevate the head, and apply ice compresses about the nose and report it by telephone.

• Avoid: bending over, lifting heavy objects or hitting your nose.

• There is usually only mild to moderate pain following nasal and sinus surgery

• individual may experience a bruised sensation because of the post-operative swelling.

• As is usually the case with such things, this seems worse at night and when one becomes nervous.

• Try the application of cold compresses. If this is not effective, you may take one of the pain relievers prescribed for you.

• During the healing process, you may experience occasional sinus headaches. These may occur up to several weeks after surgery.

• They will gradually disappear as the healing process continues.

It is common for the nose to be quite blocked and to have some mild pain for a few weeks after the operation. This usually responds to simple painkillers. Pain killer should be used the 1st day after surgery and then as needed. Take the prescribed pain medications before you begin to feel discomfort. It is easier to prevent pain than control it, if you develop severe headaches, you should contact us

• do not take anything by mouth for at least an hour including the prescribed medicine.

• You should sip slowly over a fifteen-minute period.

• When nausea subsides, you can begin taking solid foods and the prescribed medicine. Please call if the nausea does not subside within 3 hours.

Try to avoid sneezing. If you must; let it come out like a cough – through the mouth. If it becomes a real problem, we will prescribe medicine to alleviate the condition.

Nasal blockage is to be expected after nasal surgery and will gradually subside over a period (7-10 days). The patient must reconcile him/herself to this.

During the first week, you may notice that the nasal tip is slightly elevated. This is a constant, temporary factor following all rhinoplasties. The position of the nasal tip currently has little relationship to the result. The tip will slowly drop to its new lower position over several days or weeks. The nasal splint will be removed at the end of the first week

• Do not blow the nose at all for a week; after that, blow through both sides at once – do not compress one side.

• You may clean the outside of the nose and the upper lip with cotton-tip (Q-tips) moistened with hydrogen peroxide 2% as soon as you return home

• don't rub too vigorously.

• Dried blood in the nostrils may be gently cleaned and removed with a Q-tip.

If the lips become dry from breathing through the mouth, coat them with Vaseline / Chapstick.

• The body temperature does not rise much above 38° following surgery

• That is because patient becomes mildly dehydrated as he/she does not drink enough fluids.

• Patients will often think they have fever because they feel warm, but do not.

• Following surgery, you should take the medications your physician prescribed.

• You should resume any medications you were taking for medical reasons prior to surgery.

• Do not take aspirin or aspirin products, ibuprofen, or “arthritis” medications for two (2) weeks after surgery.

It is not unusual after a person has an anesthetic or any type of operation for them to feel weak, have a rapid pulse, break out in “cold sweats”, or get dizzy. This gradually clears up in a few days without medication.

Tub bathing or showering can be resumed as soon as the patient feels strong enough to do so. It is probably best to have assistance standing by on the first couple of occasions.

The average patient can return to school or work the day the bandages are removed, that is, seven (7) days following surgery.

• Many individuals sustain accidental hits on the nose during the early post-operative period.

• One need not be too concerned unless the blow is hard or if hemorrhage or considerable swelling ensues.

• Report the incident the next day by calling clinic.

• If you do sustain an injury to the nose, a minor revision procedure may be necessary.

• You should not wear glasses for about one month.

• If glasses must be worn, taping the central bridge of the glasses to the forehead will allow as little pressure as possible on the nasal bones.

• You can use contact lenses as soon as you feel comfort to do

• It is wise not to sunbathe for about 60 days. A sunburn will cause the nose to swell and delay the result.

• Walking about between sun and shade or sitting with a hat, is permitted.

• It is always best to apply a waterproof factor 25 sunblock to the nose if strong sun exposure is anticipated.

• The nasal skin is somewhat insensitive following rhinoplasty. This can be appreciated by touching the skin which will seem slightly – numb.

• Full sensation always returns in three months; the tip regains full sensation last.

• The advice concerning sun exposure also applies to the winter cold.

• It is possible to experience frostbite if exposed for long periods to sub-freezing weather during activities such as skiing.

• Both sun and the winter cold are natural enemies to the skin and prolong the usual post-up course.

• A natural reaction of all types of nasal skin to this surgery is a pronounced increase in nasal oiliness.

• Even skin that is usually dry will need to be wiped with an astringent on a cotton pad once or twice a day for two weeks or more.

• Another universal observation is the presence of flaking or peeling of the skin, much like that caused by sunburn. This also abates in about two weeks.

• Most discoloration is resolved in 7-10 days. However, though unusual, this may persist longer as pigmentation beneath the eyes.

• Occasionally, olive-skinned patients may retain this pigment for several months.

• Small irregularities may be felt below the smooth skin, especially over the nasal bones. These irregularities are common. Most noses, even without surgery, have palpable bone irregularity beneath smooth skin.

• Whether you are contemplating or have decided to undergo plastic surgery, be prepared to hear all manner of stories and judgments friends from friends and relatives.

• If you ask an opinion about your surgery, most people: will not be supportive.

• Many will have some tale of difficulty to tell you; it is an unfortunate fact of human nature.

• Occasionally, relatives and friends who are told you have made a definite decision about facial surgery are more supportive.

• After surgery, almost everyone will forget their negative statements. They will admire the results and see, for the first time, what you were talking about.

• Our purpose and goal in facial aesthetic surgery is improvement and not perfection.

• Observe, in yourself and in those around you, that the two sides of the human body are not the same.

• Aesthetic surgery can never make them the same.

• Escort: An adult should stay with you for at least the first 24 hours after surgery

• you will spend around an hour in the recovery area.

• You will wake up with some gauze under your nose.

• you may feel your nose is blocked.

• You will be advised to rinse the nose with salt water to keep nose humidify not to relieve nose blockage,

• Head position: You should rest with your head elevated with at least 2 pillows for the first 2 days after surgery.

• Caution: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing. Stand up slowly to provide time to steady yourself. If you feel dizzy when you sit or stand, you should lie back down at once to minimize the possibility of fainting.

• DO NOT BLOW THE NOSE. DO NOT PICK UP THE NOSE

• Packing: Most of case we do not use nasal packing, but very rarely placed into the nostrils, this packing is removed next day following surgery.

• Nasal splint: A thin splint (Teflon) may be used inside the nose to support the septum, will be remove without any pain after a week of the procedure.

• Bandage: A small one is placed between the bottom of the nose and the upper lip. This is changed as often as needed during the first couple days. After that no need.

• Activities:

• Should stay at home and restrict activities for 8 days after surgery, to avoid catching infection and exposing to changing air temperature and humidity. Otherwise bleeding and discomfort with happen.

• Take baths instead of showers while you have bandages on your nose.

• Brush your teeth gently to limit movement of your upper lip.

• Don't pull clothing, such as shirts or sweaters, over your head.

• Nasal discharge: For the first few post-operative days, A small amount of oozing or pinky colored nasal discharge is ordinary and expected. It should not concern you. Usually, a facial tissue touched to the nostrils is all that is needed

• Dehydration: should be prevented by taking fluids regularly. Keeping well hydrated also prevents nausea and vomiting. Try not to miss a single meal. You will feel better, have more strength, less discomfort, and heal faster if you continue to eat.

• Constipation: Decreased activity may promote so you may want to add more raw fruit to your diet and be sure to increase your fluid intake. Avoid straining when going to the restroom. Getting a laxative or a stool softener may be beneficial.

• Exercise during the first week post-up can cause bleeding.

• During the second week post-up it will increase edema or swelling.

• At 14 days, you can begin fast walking.

• At 21 days, you can begin running and weightlifting (less than 3 Kg).

• At 30 days, full exercise can begin,

• No diving, skiing or contact sports for a month.

Do not use the first week postoperative.

It is best to avoid alcohol intake for at least one week following surgery. As it is a potent blood vessel dilator and, in the post-operative condition, can promote swelling of the surgical area and even bleedings.

Do not smoke for at least 2 weeks post operatively as smoking significantly delays healing and increases the risk of complications as bleeding, dryness and infection.

If you have been placed on Antibiotics, take it as directed. Make sure you finish the antibiotic even if you feel like you are completely better and do not need it. Discontinue antibiotic use in case of a rash or other unfavorable reaction and notify the doctor of the reaction. Sometimes taking antibiotics with yogurt can help prevent diarrhea.

(if you are taking) using with antibiotic may become ineffective; use back up form of birth control.

• Avoid travelling by airplane for at least 2 weeks postoperative.

• Avoid SCUBA dive for 4 weeks.

• can swim in sea water after 3 weeks,

• can swim in swimming pool after 4 weeks

Your case is individual as no two people are alike. Do not accept well intended advice from friends. Discuss your questions and concerns with me.

if you experience Postoperatively severe headache, active nasal bleeding, severe vomiting, or high fever (>38.5) visit Emergency department ASAP.

do not hesitate to contact Hospital Call centre asking to speak with my clinic, if you have any concern. clinic staff will receive notification email that we will call you back ASAP.