Is it normal to have difficulty breathing after rhinoplasty?

Yes, nasal congestion is a common part of the healing process after nasal surgery. The cause of nasal congestion following surgery can be different for each patient. These may be grouped as follows:
- Difficulty breathing through the nose and nasal congestion after surgery may be due to the type of procedure performed. Septoplasty, rhinoplasty, and sinus surgeries are different types of nasal surgeries. These can affect the internal anatomy of the nose.
- Nasal surgery can cause edema and inflammation in the nasal passages. This swelling is temporary and gradually decreases during the healing process. Most nasal congestion begins to reduce in the first few weeks following surgery, but it may take several months to achieve optimal nasal breathing as the interior swelling slowly subsides.
- Scabs or crusts may develop inside the nose after surgery. ENT specialist Dr. Ümit Küçüktepe recommends following the moisturizing and nasal cleansing routine prescribed after surgery.
- After nose surgery, the tissues involved in the procedure may take several months to heal completely. Breathing difficulties experienced during this period will subside as the healing process progresses.
How can you breathe more comfortably after nose surgery?
- In addition to your prescribed medications, use the nasal sprays and moisturizers recommended by your surgeon regularly.
- After moisturizing the nasal passages, gently remove any loosened crusts or scabs without damaging the surrounding tissues.
- Do not skip or delay your follow-up appointments following a rhinoplasty. Be on time.
- Sleep with your head elevated to help reduce swelling and improve breathing.
- Be aware that every patient’s body structure is as unique as a fingerprint, and the healing process may vary. Do not rush or panic. Rest assured that your surgeon will provide you with detailed information about the overall condition of your nose during your follow-up examinations.
- If congestion persists for an extended period and causes various issues, please contact your surgeon.
How to ease congestion after rhinoplasty?
Nasal congestion following rhinoplasty can be relieved through nasal irrigation, moisturising nasal drops, and regular use of nasal sprays. To reduce nasal dryness, it is also important to maintain a healthy diet, drink plenty of fluids, and use a humidifier after rhinoplasty.
Can you breathe with internal nasal splints?
Internal nasal splints that are inserted at the time of surgery may temporarily limit the passage of air through the nose. Breathing typically improves significantly once these splints are removed during the follow-up visit.
Recovery Timeline
Most patients will experience progressive improvement in breathing in the first several weeks. Complete resolution of internal swelling may take several months, especially after extensive rhinoplasty procedures.
For fast recovery, avoid activities that increase swelling:
- Avoid smoking
- Avoid strenuous exercise
- Limit excessive salt intake
- Avoid blowing your nose
When to contact your surgeon?
If you have severe difficulty breathing, increasing pain in the face, persistent heavy bleeding, high fever, or worsening nasal obstruction rather than gradual improvement, contact your surgeon.
Nasal congestion following rhinoplasty is a common part of the healing process. In most patients, breathing gradually improves as postoperative swelling decreases and the nasal tissues heal. Following your surgeon’s instructions carefully and attending regular follow-up appointments can help ensure a smoother recovery and optimal breathing function.
Please contact Op. Dr Ümit Küçüktepe for an examination and further information.
This article is intended for informational purposes only. The recommendations of your surgeon, who will examine you and perform nose surgery, should be a priority.
