How Long Does It Take
To Recover From Rhinoplasty?

What are the important things about the recovery of rhinoplasty?

Factors affecting recovery:

Skin thickness:

Patients with thick nasal skin are known to be prone to longer-lasting swelling and scar formation, which necessitates a longer recovery period. In patients with thin skin, contour irregularities may be more visible or noticeable.

Revision surgery:

Patients who have previously undergone nose surgery (secondary rhinoplasty) generally experience a longer recovery period, as more extensive manipulation is often required. Revision surgery is necessary in approximately 10% of cases and is usually performed at least 6-12 months after the initial surgery.

Wound healing and contracture:

The healing process may be affected by unpredictable factors such as wound contracture and scar formation.

3:Top tips for recovering from a rhinoplasty:

• The complexity of the surgery and the extent of the changes made may affect the recovery time.
• The first 24 hours after surgery are usually the most uncomfortable, but most patients feel significantly better afterwards. Any pain felt in the nose or head area, or mild headaches, can be easily controlled with prescribed painkillers.
• Avoid driving or consuming alcohol while taking painkillers, as these medications can affect judgement and reactions.
• After surgery, the patient should be kept in a semi-sitting position with their head elevated at a 30-degree angle. Keeping the head above heart level helps reduce swelling.
• Swelling and bruising around the eyes peak on the third day after surgery and then gradually subside.
• Applying ice packs to your eyes and forehead reduces bruising and swelling. However, take care not to press ice packs directly against your nose.
• Using a humidifier at home may be beneficial. However, avoid decongestant nasal sprays.
• Take the antibiotics and anti-inflammatory medications prescribed by your surgeon regularly. Apply the ointments recommended by your doctor (e.g., bacitracin) inside your nose.
• You can brush your lower teeth normally, but you should clean your upper teeth gently.
• For the first three weeks, the tip of your nose may appear temporarily overly raised or protruding due to swelling.
• You may experience tightness or a feeling of lengthening in your upper lip; this usually disappears within two months and may affect your smile.
• Numbness in the tip of the nose or lack of sensation in the upper lip and upper front teeth is not unusual and usually resolves on its own within a few weeks to two months.
• External stitches are usually removed after one week. Patients are instructed not to pull on the stitches in the nostrils, as this may cause collapse or asymmetry in the nostrils. The dissolvable stitches inside the nose will fall out on their own.
• The nose may be blocked for the first two weeks after surgery due to blood clots and swelling. Breathing through the nose may be difficult during this time.
• To ensure nasal hygiene and relieve congestion, normal saline drops and gentle sniffing are recommended. Cleaning the nostrils with a hydrogen peroxide-soaked cotton swab may loosen clots.
• Temporary nasal congestion or allergic rhinitis may occur after surgery. Antihistamines can alleviate this discomfort. Permanent nasal congestion may occur in rare cases.
• It is very important to rest and minimise activity during the first week after surgery.
• You should avoid wearing tight clothing that needs to be pulled over your head; instead, opt for buttoned or zipped garments.
• For the first two weeks after surgery, you should avoid sitting under salon hair dryers and use a handheld hair dryer instead.
• You should avoid contact with visitors who have a cold or infection.
• Depending on the type of work and how the patient feels, they can return to desk jobs within a few days and to more strenuous jobs within 7-10 days or sometimes 2 weeks.
• Avoid wearing glasses for the first few weeks, as they may cause indentations or shifts on the nose.
• The skin on the nose is very sensitive to the sun for six months after surgery; therefore, strong sunscreen and a hat are recommended.
• Temporary asymmetries may be seen on the nose and surrounding area due to swelling; this is normal and will improve as the swelling subsides.
• Bruising may occur under the eyes after surgery. This bruising can be covered with makeup or reduced with special gels.
• Follow-up appointments scheduled by your surgeon are important. The first follow-up is usually scheduled within a week after surgery to remove the splint. Subsequent visits may be scheduled at three weeks, two months, six months, and one year.
• You should avoid excessive smiling or pulling down your upper lip, as this can cause stiffness or tension in the upper lip. Excessive chewing should also be avoided.
• You should avoid consuming alcohol, as booze dilates blood vessels and can increase the risk of bleeding after surgery. Taking alcohol with painkillers can be dangerous.
• You should absolutely avoid smoking and using nicotine products. Smoking reduces skin circulation, slows healing, and increases the risk of complications.
• It is very important for patients to have realistic expectations of rhinoplasty. It should be clearly stated that the aim of the surgery is not perfection, but a noticeable improvement. Surgeons may prefer not to perform surgery if patients have unrealistic expectations.
• Depression may occur in the first few days after surgery due to swelling, discolouration, and post-anaesthesia effects. Engaging in reading or other activities during this period is beneficial. Comments from family and friends who do not fully understand the normal course of the healing process may affect the patient emotionally. Therefore, it is important for patients to trust their surgeon's knowledge and experience.

Rhinoplasty recovery timeline (from day 1 to a year)

Recovery after rhinoplasty is a gradual and dynamic process, and it requires time and patience for the final results to fully emerge. The timeline for recovery after rhinoplasty is as follows:

The first 24 hours after surgery (Day 1)

Discomfort and pain:

The first 24 hours after surgery are usually the most uncomfortable period, but most patients feel significantly better afterwards. Pain or mild headaches can usually be easily controlled with prescribed painkillers. Avoid driving or drinking alcohol while using prescribed painkillers. In case of severe pain, contact the surgeon.

Positioning and reducing swelling:

The patient should be kept in a semi-sitting position with their head elevated above heart level (30 degrees higher); this reduces swelling. Applying ice packs to the eyes and forehead helps reduce bruising and swelling, but care should be taken not to apply direct pressure to the nose.

Diet and fluid intake:

Light foods such as soup should be consumed for the first 24 hours. Plenty of water or fluids should be consumed.

Dressings and splints:

A gauze dressing is placed under the nose to absorb any nasal bleeding. Nasal tampons may be inserted into the nostrils to provide compression and support during healing. A temporary external splint containing tape and plastic sheeting is applied over the nose; this splint protects the nose and controls swelling.

Activity and hygiene:

It is important to rest as much as possible during the first week. Blowing the nose should be avoided, and the mouth should be kept open when sneezing. Wiping or rubbing the nostrils with a tissue should be avoided.

The first few days after surgery (Days 2-3)

Peak of swelling and bruising:

Swelling and bruising around the eyes usually peak on the third day after surgery and then gradually begin to subside.

Nasal congestion:

Due to blood clots and swelling, the nose may feel blocked for the first two weeks after surgery. Breathing through the nose may be difficult.

Removal of tampon and splint:

Nasal tampons are usually removed 1-2 days after surgery. If turbinate surgery was performed, they may remain in place for one more day.

Psychological state:

Due to swelling, discoloration, and the effects of anesthesia, a mild feeling of depression may be experienced for the first few days after surgery; engaging in reading or other activities during this period is beneficial.

5 days after rhinoplasty and bichectomy

First week after surgery (7th-10th days)

1st week precision piezo rhinoplasty natural woman nose

After one week: Barbie Nose and Endoscopic Midface Lift

Removal of cast and stitches:

The external cast is usually removed at the clinic 7-10 days after surgery. External stitches are also removed during this period. Internal stitches will dissolve on their own.

Reduction in bruising:

Bruising around the eyes usually diminishes significantly or disappears completely within two weeks. It can be covered with make-up.

Nasal care:

After the splint is removed, it is recommended to gently rinse the nose with saline drops or sprays for nasal cleansing. Blowing your nose should be avoided for at least 3-4 weeks.

Return to work and activity:

Depending on the type of work and how the patient feels, they can return to desk jobs within a few days and to more strenuous work within 7-10 days. Light exercise such as walking can be started.

Appearance of the nose:

When the splint is removed, the nose will still be swollen. There may be a temporary excessive upturn or protrusion at the tip of the nose; this is caused by swelling and is temporary.

Massage:

The surgeon may recommend gentle pressure nose massage techniques to reduce edema and help the nose stay straight.

Two weeks post-op

Our patient underwent revision rhinoplasty combined with an endoscopic midface lift. In the second week, we can already see a natural improvement in both nasal shape and midfacial rejuvenation.

Every patient’s healing journey is unique, but even at this early stage, the harmony between the nose and midface is becoming more evident.

First month after surgery (first 4 weeks)

Reduction of most swelling:

Approximately 80% of nasal swelling subsides within the first six weeks. Bruising and initial swelling resolve within a few weeks for most patients.

Numbness:

A sensation of numbness in the tip of the nose, upper lip, or upper front teeth is common and usually resolves within a few weeks.

Restrictions

To reduce the risk of bleeding, strenuous exercise, exertion, and activities that lower the head below heart level should be avoided for the first 2-6 weeks. Sports involving a risk of impact to the nose should be avoided for six weeks. Wearing glasses should be avoided for several weeks.

Skin sensitivity:

As the nasal skin will be sensitive to the sun, the use of strong sunscreen and a hat is recommended for six months after surgery.

Deviation and infection control:

Follow-up visits three weeks later will evaluate for slight deviation, infection, or internal nasal adhesions. Massage techniques may be recommended for slight deviation if necessary.

Other temporary complaints:

Nasal congestion can be relieved with saline drops and gentle nasal cleansing. Complaints such as allergic rhinitis or vasomotor rhinitis may occur and can be alleviated with antihistamines.

2-3 months after surgery

2 months after the surgery

3 months after the surgery

Reduction in swelling:

Most of the swelling in the nose (approximately 80%) will have subsided.

Lip stiffness:

Tightness in the upper lip or a feeling of stiffness affecting smiling usually disappears during this period.

Minor revisions:

If necessary, minor corrections such as minor notching, pinching, or deviation can be performed after 8-10 weeks.

Six months post-surgery:

Status of swelling:

The remaining 15% of swelling will subside over the next six months.

Approaching final results:

It takes 6-12 months for the nose shape to fully settle and the swelling to completely subside, so patience is important. During this period, as the soft tissue shrinks and the edema decreases, slight asymmetries may appear at the tip, supratip, or dorsum of the nose.

Revision surgeries:

Approximately 10% of rhinoplasty patients require a second corrective surgery. It is generally recommended to wait at least eight months for significant revisions. A period of at least 6 months to 1 year is required for healing after the initial rhinoplasty.

One year post-surgery and beyond:

1 year result

Final shape of the nose:

The shape of the nose continues to change and improve for 1-2 years. The final 5% of swelling may take up to twelve months to completely disappear. In patients with thick skin or wide noses, swelling may persist for up to two years.

Outcome:

Patience is required to fully understand the outcome of rhinoplasty. Numbness in the nose may persist for up to a year.

Long-term follow-up:

Depending on the complexity of the surgery and the individual healing process, patients are followed up five to ten times within the first year and at least once a year thereafter.

How long does it take for a nose job to look normal?

This process varies from person to person. The surgical technique (closed/open rhinoplasty), skin thickness, complexity of the procedures performed, and the individual's healing speed significantly affect this timeframe. Therefore, achieving a ‘normal’ appearance of the nose after rhinoplasty is a gradual process that takes time.

Short-term recovery (first few weeks):

During the first 2 weeks, swelling and bruising are most noticeable. The nasal splint (cast) is usually removed at the end of the first week. When the cast is removed, the nose will appear quite swollen and may even have a potato-like appearance. This is completely normal, and there is no need to worry. This initial swelling rapidly subsides within 2-3 weeks, and most people can return to their social life (camouflaged with make-up or glasses).

Medium-term recovery (first few months)

1st Month: Bruising and noticeable swelling on the face largely disappear. Your nose will look much better, but it may still feel swollen and firm, especially at the tip.

Month 3: About 70–80% of the swelling has subsided. The new shape of your nose is now much clearer and begins to take on a ‘normal’ appearance. However, the finer details and final nuances are not yet fully apparent.

Long-term recovery (final appearance)

6 Months - 1 Year: Most of the swelling (90-95%) continues to subside. The tip of the nose softens and refines, and the profile and nasal contours approach their final form. For most patients, the nose appears completely normal and shows its final result at the end of 1 year.

1 year and beyond: Particularly in individuals with thick skin, the remaining minimal 5% swelling may take up to 1.5 or even 2 years to subside.

During my nose job recovery, what activities should I limit?

During the recovery period following rhinoplasty, you will need to limit or avoid certain activities to achieve a successful outcome and prevent potential complications. Activities you should limit:

• You should rest as much as possible and keep activity to a minimum during the first week after surgery.
• You should avoid strenuous exercise and excessive exertion for the first 2-6 weeks.
• You should not swim for the first 6 weeks.
• You should avoid activities such as diving and skiing for two months.
• You should avoid sports such as running and tennis for six weeks.
• You should avoid contact sports (those with a risk of impact to the nose) for four months.
• You should not lift, push, or pull weights exceeding 10 pounds (approximately 4.5 kg).
• Strenuous activities such as exercise, stretching, and heavy lifting should be avoided for the first 4 weeks.
• You should avoid activities that cause your head to drop below the level of your heart.
• You should not exercise for the first two weeks; gentle walks can be started from the second week onwards.
• You should avoid playing with small children due to the risk of them bumping into your nose.

How can I speed up rhinoplasty recovery?

By paying attention to the following points, you will give your body time to heal and can speed up the process a little.

• Follow your doctor's instructions regarding medication, dressings, and cleaning thoroughly. Never miss your follow-up appointments. This is the most important and most effective rule.
• Salt causes the body to retain water and increases swelling. Reduce your salt intake as much as possible during the first few weeks.
• Water is very important for ridding your body of toxins and renewing your cells.
• During the recovery process, your body needs extra energy and building blocks. Consume foods rich in protein (meat, fish, eggs, and legumes) and foods containing vitamin C (citrus fruits, kiwi, and peppers) and zinc (walnuts and almonds).
• Fruits such as pineapple contain bromelain and papain enzymes, which are known to have anti-inflammatory effects. It may be beneficial to consume these a week before and after surgery.
• Be sure to rest during the first week so that your body can devote its energy to healing.
• It is important to avoid strenuous exercise, not to stay completely bedridden. Light walking around the house promotes blood circulation, which aids recovery and reduces the risk of clots. However, do not lift heavy objects or bend over.
• Nicotine constricts blood vessels, reducing blood flow and oxygen to the nose. This significantly slows down recovery and increases the risk of tissue death. It is important to quit smoking before and after surgery.
• Alcohol increases the risk of swelling and bruising due to its blood-thinning effect. It may also interact with painkillers. Do not consume alcohol during the recovery period.
• Lying face down or on your side for the first month can cause pressure on the nose, leading to distortion and increased swelling. Take care to sleep on your back.
• Stress causes the body to release the hormone cortisol, which can slow down healing. Relax your mind by reading books, listening to soft music, or watching your favourite series/films.

What is asymmetrical healing after rhinoplasty?

After rhinoplasty, the swelling (edema) on the right and left sides of the nose may not subside at the same rate or to the same extent. Therefore, during a certain period of the healing process, one side of the nose may appear less swollen and more symmetrical, while the other side may appear more swollen and perhaps less well-shaped. This condition is called asymmetrical healing.

Causes of asymmetrical healing:

Natural anatomy:

The thickness of the soft tissue on both sides of your nose, lymphatic drainage (fluid drainage), and blood circulation may already differ slightly from birth. This difference causes the swelling to subside at different rates.

Surgery: The surgeon may have performed different procedures on each side to correct your nose structure and make it symmetrical (for example, removing more bone on one side). This may cause more or longer-lasting swelling on that side.

Sleeping position: If you consistently sleep on the same side, the swelling there may subside more slowly.

Trauma: The response of the tissues to the surgery may not be completely the same on both sides.

Is asymmetrical healing permanent?

Most of the time, no. Asymmetrical healing is a temporary process seen in almost every patient and resolves spontaneously once the swelling has completely subsided. To see the final result of your nose, you must wait for the 6-12 month period when 90-95% of the swelling has subsided.

When should I inform my doctor?

It takes time to determine whether the asymmetry is a true surgical one or just a temporary difference in swelling. However, it is advisable to contact your doctor in the following situations:

• If the asymmetry is still noticeable 6-12 months after surgery and bothers you.
• If the asymmetry is accompanied by other symptoms such as pain, redness, fever, or difficulty breathing.

When will I see the results of rhinoplasty?

You must be patient to see the results of rhinoplasty. Significant swelling subsides within the first 2-3 weeks after surgery, and you can begin to return to social life, but it usually takes 6 months to 1 year, or even up to 2 years in people with thick skin, for the nose to take its final shape and natural appearance. During this process, the swelling gradually decreases, revealing the final shape of your nose.

Potential risks and complications during rhinoplasty recovery:

Potential risks and complications that may occur during the rhinoplasty recovery process include:

Most common (usually temporary):

• Swelling and bruising
• Pain and discomfort
• Nasal congestion
• Numbness

Less common complications:

Bleeding (Epistaxis): Mild bleeding within the first 48 hours is normal, but severe and persistent bleeding may require urgent intervention.

Infection: Rare, presenting with fever, increased redness, pain, and purulent discharge, treated with antibiotics.

Septal haematoma: This is a collection of blood in the nasal septum, which must be drained urgently; otherwise, it may lead to cartilage damage.

Burst blood vessel (Telangiectasia): Red lines may appear on the skin of the nose, which can be treated with laser therapy.

Late-stage complications (aesthetic or functional):

Asymmetry: The two sides of the nose appearing different.

Oedema: Persistent swelling may remain, particularly in individuals with thick skin.

Nasal deformity: For example, a depression on the bridge of the nose or excessive elevation at the tip.

Breathing difficulties: Worsening may occur compared to the preoperative condition.

Scarring: Particularly in open rhinoplasty, a scar may remain along the columella (under the nose) suture line.

Allergic reaction: May develop to tape, suture material, or medications.

When to call the doctor:

It is vital to contact your doctor immediately if certain conditions arise during the recovery process following rhinoplasty. These conditions are critical for the early diagnosis and treatment of possible complications. Here are important signs and conditions that indicate when you should call your doctor after rhinoplasty:

• If severe, uncontrollable, or uncomfortable bleeding occurs.
• If you experience severe pain or pain that does not subside with prescribed painkillers.
• If you notice excessive, increasing, or spreading swelling and redness in or around the surgical area.
• If you have abnormal bruising and swelling on your nose, this may be a sign of ongoing bleeding or infection.
• If you have a high fever (above 38.5°C) or chills/shivering.
• If your nose becomes more blocked and painful (this may be a sign of infection).
• If you experience severe nausea or vomiting, or if your nausea persists.
• If you experience any blow or injury to your nose.
• If the nasal packing causes significant discomfort or a gagging sensation.
• If your external splint comes off on its own.

Frequently Asked Questions

Is rhinoplasty dangerous?

Rhinoplasty is generally a safe procedure when performed by an experienced and skilled surgeon. However, like any surgical procedure, it carries certain risks and potential complications.

Does rhinoplasty hurt?

You will not feel any pain during the rhinoplasty procedure, as general anaesthesia or sedation is administered. Mild to moderate pain may occur in the postoperative period, but this pain is usually manageable.

When can I take my nose splint off?

• It is removed after 7-10 days.
• It should be removed by your surgeon at your first follow-up appointment (usually in the first week).
• Never attempt to remove it yourself. This could cause the shape of your nose to be distorted or negatively affect healing.

What are rhinoplasty side effects?

There are temporary and permanent side effects and risks associated with rhinoplasty. Here are the most common ones:

Common temporary side effects:

• Swelling and bruising
• Pain and discomfort
• Nasal congestion: Numbness or loss of sensation.
• Nasal discharge or slight bleeding

Less common side effects:

• Infection
• Bleeding (Epistaxis)
• Asymmetry
• Breathing problems
• Scarring
• Dissatisfaction with the shape of the nose
• Irregularities in the cartilage or skin
• Undesirable appearances such as a depression on the bridge of the nose or excessive elevation at the tip may occur.

Permanent complications (rare)

• Smell disorders,
• Chronic nasal congestion,
• Vascular problems

What is the hardest day of rhinoplasty?

The most difficult period following rhinoplasty (nose surgery) is usually the first 24-48 hours immediately after the operation.

What happens if you sneeze after rhinoplasty?

Sneezing after rhinoplasty is a natural reflex that usually does not cause any serious problems. However, there are important points to consider:

• Sneezing causes a sudden increase in pressure in the nose and sinuses. This can strain the tissues and stitches that are still healing.
• The internal structures of your nose (bone/cartilage) have been securely stabilised by your surgeon. It is unlikely that a single sneeze will cause damage.
• Sneezing may cause minor bleeding by straining the fragile blood vessels inside your nose. Before sneezing, open your mouth to allow some of the pressure to escape through your mouth instead of your nose. Call your doctor if you experience severe pain, unstoppable bleeding, or a change in shape.
• You may feel tension or soreness in your nose when sneezing. This is temporary.
• When sneezing, tilt your head slightly forward and keep your mouth open.
• Do not panic about a sudden sneeze. It is unlikely to cause problems.
• If you sneeze frequently (due to allergies), you can ask your doctor for an antihistamine recommendation.

What is the best age for rhinoplasty?

The earliest: 17-18 years old (after physical development is complete). For women: 16-17 years old and older. For men: 17-18 years old and older.

Ideal: 20-40 years old (both physical recovery is rapid and psychological stability is high).

Upper limit: It can be performed on individuals of any age whose health condition is suitable.

Why no coffee after rhinoplasty?

There are several important reasons to avoid coffee consumption after rhinoplasty:

• Coffee can raise blood pressure due to its caffeine content.
• High blood pressure can increase the risk of bleeding in the capillaries inside and around the nose during the recovery process. Uncontrolled bleeding, swelling and bruising can worsen in the first 1-2 weeks after surgery.
• Caffeine has a diuretic effect and accelerates water loss from the body. Dehydration slows down healing; it can cause dry skin, fatigue, and slower tissue recovery.
• Quality sleep after surgery directly supports the recovery process. Coffee can disrupt sleep patterns and slow down the body's self-repair mechanisms.
• Coffee can trigger reflux or nausea by increasing stomach acid. The contraction of abdominal muscles during vomiting puts pressure on the blood vessels in the nose, increasing the risk of bleeding.
• Do not consume coffee at all for the first 1-2 weeks. Depending on the recovery process, your doctor may give permission after 3-4 weeks.

Please contact Op. Dr. Ümit Küçüktepe for an examination and further information.

This article is for informational and advisory purposes. The recommendations of your surgeon, who will examine you and perform nose surgery, should be a priority.