Mahmoudieh Office: Open Saturdays & Wednesdays — 3:00 PM to 7:00 PM

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Rhinoplasty Aftercare

Compression and Rest

Cold and Warm Compress

  • Applying a cold compress during the first 36 hours after surgery is very effective in reducing swelling and promoting recovery. It should be taken seriously and applied carefully. To tolerate the cold more comfortably, use a gel ice pack for five minutes every fifteen minutes. Cold helps minimize the risk of bruising and swelling.

  • After using the cold compress, a warm compress can be applied around the nose to aid in the healing of any remaining swelling or bruising. You can use a specially designed pad or a warm towel for this purpose. Continue this practice for at least one week or until swelling and bruising subside.

Sleeping Position

  • Avoid complete bed rest; short walks from the first day are essential to reduce swelling and improve blood circulation.

  • When sleeping, be sure to elevate the head above the body using two or three pillows.

  • Sleeping on your side from the second day is permissible and will not cause any deviation of the nose.

Nasal Tape and Splint

Mesh and Splint

  • Usually, there is a yellow mesh inside your nose, which should be removed three days after surgery.

  • Please note that in some cases, a splint (a silicone strip inside the nose) is used instead of the mesh. The splint must be removed only by the doctor two weeks after surgery.

  • If you have a splint, do not manipulate your nose under any circumstances.

Nasal Taping

  • The duration of nasal taping after surgery is usually up to two months. Depending on your skin type and the doctor’s assessment, this period may be shorter or longer.

Medication and Hygiene Management

Medication Instructions

  • Cephalexin 500 mg capsules: Take every 6 hours for 7 to 10 days (starting immediately after discharge).

  • Rinosaline spray: Begin using for nasal irrigation from the third day and continue for several months to prevent unpleasant odors.

  • Oxymetazoline spray: Use only as directed and for a maximum of one week; prolonged use is not permitted.

  • To keep the sutures moist, you can use a nasal irrigation spray.

  • Resume Vitamin E and aspirin two weeks after surgery.

Showering Instructions

  • During the first week, wash only your hair and body, avoiding getting your face and the external nasal splint (cast) wet.

  • On the day of your appointment for splint removal, take a shower and gently wash your face to make the removal process easier at the clinic.

  • If the external splint (nasal cast) comes off before your appointment, do not worry.

Diet and Activity Restrictions

Dietary Guidelines

  • On the first day, eat only light and soft foods (such as soup and juice), and from the second day onward, avoid only hard foods like crispy rice crust.

  • To prevent increased nasal swelling, minimize salt intake in your diet.

  • Consumption of pineapple and celery is optional; however, if you have a history of acne, avoid pineapple, and if you have digestive issues, avoid celery.

Permitted Activities

  • Avoid heavy exercise or lifting objects for up to six weeks.

  • As much as possible, avoid bending your head forward or positioning your face downward, as this increases blood flow to the head and can worsen swelling and bruising.

  • After six weeks, you may resume light workouts at the gym.

  • Do not wear glasses for up to two months (unless using special hooks).

  • Do not drive while the nasal tape is in place, as it may cause double vision or impaired sight.

Additional Notes

Important Notes

  • One month after rhinoplasty, you may receive Botox injections.

  • After surgery, you can use Vitamin C to help improve scar healing.

  • For post-surgery clinic visits, be sure to come with someone accompanying you.

  • It is important to note that rhinoplasty is a minor surgery, blood loss during the procedure is minimal, and there is no need for special nutritional supplements.

About Dr. Achak

ENT & Head and Neck Surgeon - Board Certified from Tehran University of Medical Sciences - Medical Council No: 78063
Performing all cosmetic and therapeutic surgeries of the nose, sinus, tonsils, and head and neck tumors at Arya Superspecialty Hospital.

Mahmoudieh Office

Unit 2, 1st Floor, No. 2901, Next to Mahmoudieh Bus Station, 300m North of Parkway Bridge, Valiasr St, Tehran, Iran

+98 912 288 0784

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