Strictly follow the doctor's postoperative advice, not the advice of other doctors, or the advice of your good friend who has had the same operation!
The core elements of postoperative care include dressing (splint), drugs and treatment of complications. Based on our decades of clinical experience and referring to the practices of our counterparts at home and abroad, we initially set the guiding process after rhinoplasty as follows.
Five key instructions for patients after rhinoplasty
Avoid fatigue within two weeks.
Head elevation and ice compress (within 48 hours after operation).
Head elevation should last until there is no edema in the morning (usually 7~ 10 days).
The nose should not be subjected to trauma or pressure for 6 weeks.
Please contact your doctor immediately if:
-a lot of bright red bleeding on the nose;
-Body temperature exceeds 38.5℃;
-sharp pain, the drug can't be controlled.
Nursing guidance after augmentation rhinoplasty
During postoperative 1 week, two pillows should be used to raise the head.
In the first 72 hours after operation, you need to use an ice pack or eye pad provided by the hospital for cold compress to minimize swelling and congestion. Please don't put pressure on the nasal splint during cold compress.
The swelling after the first 48 hours is normal. The most severe swelling occurred 48~72 hours after operation.
Eat only digestible liquid food on the day after operation. You can eat semi-liquid food regularly from the next day, but avoid eating apples, corncob and other foods that make your lips move too much within 2 weeks after operation.
There may be bloody runny nose 3~4 days after operation, and the nasal drainage gauze may need to be replaced. Please don't rub or suck your nose, which may stimulate bleeding. After no drainage, you can take out the drainage gauze and the adhesive tape on your cheek by yourself.
In order to prevent bleeding in the first two weeks after operation, please don't suck or blow your nose. Try not to sneeze. If it is unavoidable, please sneeze with your mouth.
When wearing a nasal splint, please choose to wash your hair on your back, or you can go to a beauty salon to wash your hair. Pay attention to prevent the nasal splint from getting wet.
The inner edge of nostril and all sutures can be cleaned with cotton swabs soaked in normal saline, and a thin layer of erythromycin ointment can be applied to prevent scab. You can send a cotton swab to the nostril about 2cm (no more than the length of cotton) for cleaning, and be careful not to be too deep. As long as the action is gentle, there will be no tingling inside the nose.
General postoperative guidance
Please avoid strenuous activities (anaerobic exercise, weight lifting, bending over and other activities that increase the heart rate per minute 100 or more) in the first 3 weeks after operation. After the first 3 weeks after operation, the activity was gradually increased in 2 weeks, so that it returned to normal level before the third week (6 weeks after operation).
Avoid lifting more than 5 kilograms within 3 weeks after the operation.
Please avoid hitting your nose within 6 weeks after operation, and then pay attention to avoid hurting your nose.
Generally, the nasal splint will be removed 5~7 days after operation, and it will take longer to wear the nasal splint for comprehensive rhinoplasty, according to the doctor's advice.
After suture removal and splint removal, it is suggested to gently remove the scab skin from the nose with normal saline, especially after nasal septum reconstruction or inferior turbinectomy.
After removing the splint, don't wear glasses or put anything else on your nose for 4 weeks. Contact lenses can be worn as long as the swelling subsides enough to be put in.
Postoperative nasal skin will be sensitive to sunlight. Please pay attention to sun protection within 6 months after operation. If you have to stay in the sun for a long time, please wear a wide-brimmed hat and/or use sunscreen. During the recovery period, all wounds will be very sensitive to sunlight, so avoid direct sunlight.
After rhinoplasty, the tip of the nose will sometimes feel numb, and occasionally the front teeth will feel strange. These feelings will gradually disappear with postoperative recovery.
Part of the swelling subsided 2-3 weeks after operation, and the remaining 10% swelling gradually subsided within 1 year. When smiling early, the nose may feel stiff, not as soft as before the operation. This will not be noticed by others, and will gradually return to normal with the passage of time.
Please use this medicine carefully according to the instructions.
If you have symptoms such as nausea, vomiting, rash, shortness of breath or diarrhea after taking the medicine, or if you have symptoms such as fever (body temperature exceeds 38.5), redness of surgical wound and aggravated pain, please contact your doctor immediately.
If there is a large amount of bright red bleeding on the nose (the drainage gauze needs to be changed every 30~40 minutes), please inform the doctor immediately.
Repeat key points:
Keep your head up within 48 hours after operation and often apply cold compress to your eyes and cheeks, which is very effective in reducing postoperative swelling. When doing these operations, do not wet the outer splint and/or use too much pressure, as this will lead to the early splint falling off or shifting.
Postoperative swelling peaked at 48~72 hours after operation, and most postoperative edema subsided within 3 weeks, but it did not subside until at least 6 months to 1 year after operation, which was a part of the normal course of postoperative disease. Please wait patiently for recovery.
External splint
External dressing includes soft tissue adhesive tape and external splint. After the operation, the soft tissue in the lobule is squeezed to reduce edema, and the skin is prepared with alcohol and skin adhesive. Generally, the splint and adhesive tape are taken out from the hospital 5~7 days after operation.
suture
Come to the hospital for stitches 5~7 days after operation. The nasal alar base can be sutured for 10 days before being removed. Intranasal suture is absorbable and does not need to be removed.
medical science
Antibiotics need to be used during perioperative period, including intravenous injection of a dose in the waiting area 30 minutes before the operation begins, and the drug is usually stopped 3 days after the operation.
It is forbidden to use aspirin, fish oil, linseed oil, Chinese herbal medicine, red ginseng, ginseng and other western medicine, Chinese herbal medicine, health care products, etc. This may lead to increased intraoperative bleeding, difficulty in hemostasis, postoperative bleeding and hematoma. Use vitamins as prescribed.
Postoperative pain varies from person to person. If the pain is not strong, don't take painkillers casually.
2~3 days after operation, the wound was cleaned with normal saline and erythromycin ointment every day.
Common problems after operation
Hemorrhage/hematoma
Slight bleeding within 48 hours after rhinoplasty is common. The patient can be controlled by raising the patient's head 60 (lowering the venous pressure). If there is still a lot of bleeding, contact a doctor immediately.
Total rhinoplasty generally requires drainage.
infect
Infection after rhinoplasty is very rare. Early signs of infection are typical cellulitis, including tenderness, redness and fever. If the above symptoms appear, please contact the surgeon in time.
Persistent edema
Early edema appeared within 4 weeks after operation. The best treatment methods to reduce early edema include frequent cold compress, raising the head, tape fixation and preoperative patient education.
Advanced edema refers to the swelling from several months to one year after operation (the second rhinoplasty may take longer), which is actually a process of scar remodeling. Therefore, persistent edema mainly depends on self-dissipation, and patients can rest assured. In some cases, steroid injection may help to control the production of excessive scar tissue. If there is scar tissue hyperplasia in some parts of the nose, it will affect the postoperative effect. For example, in clinical patients with secondary rhinoplasty and male rhinoplasty patients with thick skin, after the dead space is formed between the skin and the underlying stent, scar tissue hyperplasia leads to the reduction or loss of the turning point of the upper nasal tip. These two types of patients should keep in touch with the hospital after operation, and come to the hospital in time if scar tissue hyperplasia occurs.
Irregularity/deviation of nasal dorsum
After augmentation rhinoplasty, irregularities or deviations sometimes appear at the back of the nose. In the first year after surgery, there are usually some slight irregularities or deviations. If there is such a phenomenon, please come to the hospital for a follow-up visit in time to judge the cause and severity. Persistent and obvious irregularities or deviations need surgical correction.
Nasal airway obstruction
Postoperative nasal airway obstruction can be caused by edema or anatomical reasons. Most patients will have different degrees of temporary airway obstruction, which usually disappears after 2~3 weeks and usually does not require special treatment. If nasal airway obstruction persists for more than 3 weeks, please come to the hospital for a follow-up visit in time to determine the cause of nasal airway obstruction and deal with it accordingly.
Visit as a member of the entourage
The hospital will follow up 1 week, 3 months, 6 months and 1 year after operation (and take postoperative photos at the same time), and then follow up every 1~2 years to evaluate the long-term effect. Please keep in touch with the hospital and let the doctor know your situation, which is very important for you and the doctor.
Finally, repeatedly stressed:
Strictly follow the doctor's postoperative advice, not the advice of other doctors, or the advice of your good friend who has had the same operation!
Strictly follow the doctor's postoperative advice, not the advice of other doctors, or the advice of your good friend who has had the same operation!
Strictly follow the doctor's postoperative advice, not the advice of other doctors, or the advice of your good friend who has had the same operation!