Postoperative Care in Aesthetic Rhinoplasty Patients

Abstract

After rhinoplasty, during the first 24 hours, the patients should be closely monitored for pain and discomfort, nausea and vomiting, and cool compresses must be applied regularly to decrease edema and ecchymosis. In the early postoperative period of the first month, the sutures, cast, and splints are usually removed during the first week. Then the patient is followed-up at 1, 3, 6, and 12-month intervals routinely to observe healing. In the meantime, any kind of intranasal and extranasal complications should be noted. The outcome measures such as ROE, NOSE, or SCHNOS should be used 3 to 6 months after surgery. If the patient is closely followed-up, then any unwanted complication or dissatisfaction can be solved after 6 to 12 months.

Surgical Burr-Assisted Lateral Osteotomy Technique in Septorhinoplasty

“…The dissection of the mucoperichondrium and mucoperiosteum of the nasal osteocartilaginous dorsum in an improper plane, and intraoperative blood pressure might play a role in periorbital edema and ecchymosis 17,18 . Systemic steroid administration before and during surgery, perioperative and postoperative cold, saline-soaked gauze compression, and postoperative taping are effective in reducing edema and ecchymosis 19,20 . Surgical techniques and devices might also affect these morbidities 12,16,21 …”

“…17,18 Systemic steroid administration before and during surgery, perioperative and postoperative cold, saline-soaked gauze compression, and postoperative taping are effective in reducing edema and ecchymosis. 19,20 Surgical techniques and devices might also affect these morbidities. 12,16,21 Lateral osteotomy is the most critical step of septorhinoplasty and is performed to close the open roof after nasal hump reduction and narrow the nasal base.…”

Surgical and Nonsurgical Management of the Nasal Skin-Soft Tissue Envelope

“…2,6,24,32,75 Using cooling over the eyes and cheeks postoperatively will help diminishing the acute edema formation and ecchymoses. 23,75 Davis et al recommend using ice for 72-hour postoperatively and intermittently for another 4 to 5 days after that. 23 The patient should be educated to sleep in 60 to 70 degrees inclined for the immediate postoperative period and to avoid exercise for 6 weeks to decrease further edema formation.…”

“…73,74 Postoperative Regimes Regardless of the thickness of SSTE, postoperative measures are required to control sebum, edema, inflammation, and scar formation. 2,6,24,32,75 Using cooling over the eyes and cheeks postoperatively will help diminishing the acute edema formation and ecchymoses. 23,75 Davis et al recommend using ice for 72-hour postoperatively and intermittently for another 4 to 5 days after that.…”

Invited Response on: The Importance of Multiple, Different Rhinoplasty Consultations in Patient Selection

“…Therefore, if the dissatisfaction in the first few months continued in the 6th month, we evaluated the results in the 6th month because we thought that the dissatisfaction would continue in the 1st year. In the literature, the ROE questionnaire was filled out 6 months postoperation [ 3 , 4 ].…”