Post-operative care is based on patient comfort, reduction of runny nose and edema, patency of the nasal airway, and stabilization of the nose. Upon leaving the institution, all intranasal dressings are removed, the patient or his or her companions are given a detailed list of instructions with the surgeon in charge.
Regular checks are essential to detect situations that can be corrected with additional early procedures.
General measures such as the position of the patient, semi-sitting, after surgery, and the placement of local ice for two or three days in the immediate post-operative period decrease the number of components attracted by surgical trauma to the operated tissues.
The placement of local heat on the third day, causing vessel dilation, allows the vasculature to remove the remains of bruises and waste products from the healing.
Obviously, the most important consideration is the prevention of nasal trauma, nasal decongestant therapy is useful in conjunction with analgesic medication that could include pharmacological preparations of acetaminophen with codeine.
The value of corticosteroids in conventional rhinoplasty is a point of controversy.
The use of first-generation prophylactic cephalosporin antibiotics is ideal for covering skin germs and intranasal mucosa and should be continued for at least five days.
In complex secondary cases, particularly if atrial cartilage has been taken, a quinolone type ciprofloxacin is used to add a pseudomonal coating without forgetting the irrigations with saline solution in the frequency and quantity desired by the patient.
The sun, ultraviolet rays can cause inflammation and spots on the skin, so you should limit your exposure for at least two months after surgery, the pressure from the glasses on the nasal dorsum allowed only after six weeks, the exercise should be limited for at least two weeks after surgery and intense exercise after six weeks.
The external splint is removed five to seven days after surgery; Careful removal of the bandage by separating it from the skin with a blunt instrument is important. Failure to comply with this recommendation may disrupt the newly formed subcutaneous fibroelastic layer leading to additional scarring or abrupt hematoma. The photographic documentation in each consultation helps us to feed ourselves and determine which of the procedures we carry out in the intraoperative led us to achieve the appropriate result and which one we must perfect because the result was not the most appropriate. If on the first trip through the forest you make the map, measure times and distances, record trails and accidents and on each of the following trips correct them, on the tenth trip you would walk faster,
- After surgery for a period of 8 days, you will remain with a nasal immobilization that you must take maximum care of, do not wet, and do not remove. You should not bathe in very hot water, as steam can detach the bandage. In case it takes off, you should go to the office to reinforce it. When removing it, a lighter bandage will be left for an approximate time of 8 to 15 more days.
- Any reddish discoloration of the whites of the eyes or eyelids is just the normal process of inflammation and will improve during the recovery period. Sometimes there can be inflammation and bruising around the eyes that will disappear within 15 days. It is recommended to put on a surgical glove with ice wrapped in a towel over the eyes and cheeks permanently for the first 48 hours.
- In general terms, you can return to your activity in a period of 5 to 8 days if you will not be exposed to drastic changes in temperature, physical effort, or risk of blows to the face.
- The final appearance of your nose will only be established at the end of 6 months after the procedure. Nasal cosmetic surgery is a highly specialized and very demanding procedure, and therefore, no procedure, however small it may seem, is easy. It may require some other surgical procedure to achieve a result very close to that desired before surgery. This can only be done after six months of the first procedure.
The above are general indications, do not hesitate to call us if you need any clarification. Remember that the success of the surgery depends largely on the post-operative care.