It is normal to have some bruising and swelling around the surgical site. Bruising is typically better in about two weeks, and swelling is mostly better by six weeks post-procedure, but some swelling can last for up to 6 months. This is very normal, especially for nose procedures. Swelling can fluctuate based on activity level and diet; salty or spicy foods can lead to more swelling, and days with increased activity will lead to more swelling in the evenings.
- You can shower 48 hours after surgery. Soap and water can run over the incisions and the sutures, but be careful not to scrub or rub directly on the incisions while washing or drying off. Be gentle. Pat dry.
- You may have some drainage from your nose for the first 3-4 days after surgery. This drainage may appear bloody. This is normal. The amount of drainage should decrease with each passing day. You may use gauze and tape to absorb any drainage.
- Use a Q-tip dipped in hydrogen peroxide and gently clean the opening of each nostril and around the sutures three times a day. Do not go deeper than the Q-tip head itself.
- Apply Vaseline or Aquaphor 3-4 times a day over the incision and the sutures. This will help the incisions to heal and help prevent blood from scabbing.
- You may start using saline nasal sprays or Flonase spray one week after surgery. Make sure you point the tip of the spray outwards so you avoid spraying the septum.
- Avoid blowing the nose for the first two weeks. You may dab the nose with a tissue or clean the nostrils with a Q-tip, but avoid excessive pressure or manipulation in the first two weeks. After two weeks, be gentle with nose blowing until six weeks post-op.
- Avoid salty and spicy foods, as these increase swelling in the nose.
- Sleep on your back and slightly inclined for the first week by keeping your head and upper body elevated on pillows. This will help with swelling and will help prevent you from rolling over and sleeping on your face.
- Driving is typically OK the day after your procedure, as long as you did not undergo general anesthesia. If you did have general anesthesia, we recommend waiting 2-3 days before driving.
- Do not lift/push/pull anything heavier than a gallon of milk for the first week. After the first week, you may gradually increase lifting and activity, including exercise as tolerated.
- You may use over-the-counter Tylenol and Ibuprofen for pain relief as long as you have no allergies or medical conditions that prevent you from taking these drugs. These medications may be taken together for maximum relief or staggered for more continuous pain control.
- Tylenol (acetaminophen) 1000 mg: take every 6 hours or as needed for pain
- Motrin (ibuprofen) 600 mg: take every 6 hours or as needed for pain