Question: What special care will I have to perform on my nose after my rhinoplasty? Will I need to clean it and how am I supposed to do this?
Answer: After a rhinoplasty surgery quite often a cast and dressings are placed on the nose. The dressing usually consists of some gauze on the bottom of the nose. At the end of the surgery, packing may be placed in the nose for a short time which is then removed. In general, in the first 24 to 48 hours, very little care is done on the nose and it is very important not to move the tissues. My preference, along with many other experienced surgeons, is to avoid any manipulation of the nose for a few days. If there is an incision made on the columella at the bottom of the nose, these stitches are removed after 4 to 7 days. Patients may use some water to gently clean the nose. It is advisable in the early post op first week not to do too much manipulation of the nose which may change the shape of the nose which could adversely affect the outcome. After the first week generally the nose is able to be cleaned both inside and out with water. As it heals, gradually things progress to treating your nose as you would have before the surgery.