Rhinoplasty post-operative instructions
Follow your surgeon’s post-operative instructions carefully to support proper healing and achieve the desired surgical outcome. Mild swelling, bruising, nasal congestion, and discomfort are common after rhinoplasty and typically improve gradually over time.
First 24 hours
- Breathe through your mouth
- Keep head elevated at 45° even while sleeping
- Sips of warm water 4 hours after surgery, then semi-solid food if tolerated
- Apply cold compress to cheeks and eyes for 10–15 minutes every hour
- Walk gently inside the room every 2–3 hours
- Do NOT blow your nose
- Do NOT disturb the nasal pack or splint
- No smoking for 2 weeks
Preventing dizziness: Sit at the bed edge with legs hanging for 2–3 minutes before standing, take deep breaths, then stand slowly with support. Have someone nearby for the first 24 hours. If dizziness occurs, sit or lie down, elevate legs, breathe slowly, and drink fluids once stable. Contact your surgeon if it persists or you faint.
24–72 hours
- Continue head elevation and cold compress
- Expect swelling, bruising, congestion, and mild blood-tinged drainage — this is normal
- Keep nasal splint clean and dry; shower after 24–48 hours but keep splint dry
- Avoid hot showers
- Brush teeth gently
- No strenuous activity, bending, or lifting; light housework and desk work are fine
After 72 hours
- Sleep on your back with head elevated for 2 weeks
- No blowing your nose for 2 weeks; sneeze with mouth open
- Avoid contact sports or nasal trauma
- No glasses resting on nose for 4–6 weeks
- No alcohol or smoking for 2 weeks
What is normal
- Swelling peaks at 2–3 days
- Bruising improves in 1–2 weeks
- Nasal tip may feel numb or firm
- Congestion is common
- Final results take 9–12 months
Call your surgeon immediately if you notice
- Fever above 38.5°C
- Heavy continuous bleeding
- Sudden severe swelling on one side
- Vision changes or severe headache
- Difficulty breathing
- Severe pain not controlled by medication
Follow-up: First appointment is usually 5–7 days after surgery for splint removal. Keep all scheduled appointments.
