Does your face swell after rhinoplasty?

Does your face swell after rhinoplasty?

Following rhinoplasty, there are two types of edema that might occur. Following rhinoplasty surgery, there is acute swelling due to the surgery’s trauma, followed by swelling due to fluid retention.

Swelling is almost often a side effect of rhinoplasty.

The swelling is obvious right away, and it is just the result of the rhinoplasty surgery’s inflammation. This form of swelling can happen at the same time as bruising. Although each patient heals differently after rhinoplasty, the rhinoplasty procedure can help to reduce the severity of this sort of edema. By doing the rhinoplasty with a careful dissection of the tissue, I strive to limit the acute swelling and bruising. I use an open approach in the great majority of my cosmetic rhinoplasty instances. The approach, whether open or closed, does not generate swelling right away. With the closed approach, I’ve noticed a lot of edema, and vice versa.

Assist with swelling after surgery

The skin must be lifted off of the underlying cartilage and bone during rhinoplasty. In any approach to rhinoplasty, the skin of the nose must be lifted. The way the skin is lifted following rhinoplasty can help to reduce the amount of swelling that occurs right after the procedure. Every millimeter counts in rhinoplasty, just like it does in any other procedure. It’s also important to know how high you’re lifting the skin off the cartilages. This could be a fraction of a millimeter, as you can imagine. To help decrease the amount of immediate postoperative swelling and bruising, I take great care in the level at which I execute my skin elevation. In addition, when resetting the bones, I use a procedure that has proven to reduce postoperative swelling. In addition, applying ice immediately after surgery can aid with this type of swelling. For the first twenty-four hours after surgery, I have all of my patients utilize as much as they can tolerate. Ice becomes ineffective in managing bruising and swelling after the first day after surgery.

Influencing factors are increasing in number

The quantity of this second form of swelling after surgery is influenced by several factors, the most important of which is the thickness of the skin: the thicker the skin, the greater the degree of swelling. During their appointment, I inform all of my patients about their noted skin thickness and try to prepare them for the degree of swelling that may be predicted in their instance. To help alleviate the protracted swelling, I advise my patients to decrease their dietary salt consumption at this time in the procedure. Because the second sort of swelling is caused by fluid retention beneath the nose’s skin, I’ve found that reducing salt in the diet helps. Regardless, the second form of skin swelling may take months to completely settle and reveal the rhinoplasty modifications.


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    The Seattle Rhinoplasty Center

    William A. Portuese, M.D.
    The Seattle Rhinoplasty Center®

    Seattle, Washington 98104

    (206) 624-6200

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