Question: I had an aesthetic rhinoplasty procedure 10 years ago. Unfortunately, I fell down a couple of stairs outside my front door a few months ago and ended up smacking my face on the front walk. I fractured my nose and now that the bruising and swelling have healed, I’m going to want to have surgery again at some point because there is some lasting damage to my appearance. My main concern is about the post-operative experience. I had quite a bit of swelling and discomfort after my last procedure. Have there been any advances over the last decade to lessen the pain and discomfort after surgery?
Answer: Each patient has a different experience after surgery and especially rhinoplasty. The main cause of pain after rhinoplasty is internal nasal packing and I do not routinely pack the nose. As such about 80% of my rhinoplasty patients hardly touch there pain medicine afterwards. Nasal swelling is increased with prolonged surgical time and more traumatic surgical techniques. The more decisive the surgeon, the quicker the surgery, and the less traumatic surgeon, the less post op swelling you should see. However again each patient’s body reacts differently and while some patients have very minimal swelling other patients do have more significant swelling after their nose job.