Rhinoplasty: Scars and Sleeping Position – 2022


Rhinoplasty: Scars and Sleeping Position

Rhinoplasty scars are practically imperceptible, since the incisions are small and in places with little exposure.

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Rhinoplasty is the plastic surgery indicated for those who are dissatisfied with the natural shape of the nose. Surgery is often associated with other nasal procedures, such as correction of the nasal septum and turbinectomy – removal of part of the nasal turbinates, the popular spongy meat, which usually increases in the presence of allergies, such as rhinitis. Rhinoplasty can be performed from the age of 15, when facial development is already completed.

How is rhinoplasty done?

There are two techniques used for rhinoplasty: open (exorhinoplasties) or closed (endonasal). In the open technique, a small incision is made at the base of the nose, between the nostrils, and on the inside of each nostril. In the closed technique, there are incisions only inside the nostrils.

An important point is that closed rhinoplasty is a procedure that requires great qualification from the professional, as it is performed without the surgeon’s vision, that is, the plastic surgeon works in the dark, since the skin of the patient’s nose is not lifted. In the closed technique there are some advantages, such as the procedure being a little more agile, the end result providing the nose with a more natural consistency, faster recovery than in open surgery and no visible scar.

Although most requests refer to reduction and remodeling, there are cases in which nasal augmentation can be performed, through cartilage graft, implantation of prostheses or filling in place. To reduce the size of the nose, parts of the cartilage are removed and/or the bone is scraped and sanded.

Fracture of the nasal bone is performed only in specific cases, previously evaluated during the physical examination, in order to reduce the “bone” of the nose, and also the enlarged base. In these cases, respectively, the fracture is done to compensate for the bone scraping, which reduces the bone mass of the site, stimulating bone formation at the site and to thin the nose of people who have a very wide base. Anyone who has suffered a previous fracture, which left the nose crooked, may also need the nasal fracture to adjust it.

Anesthesia can be general or even local with sedation, if general anesthesia is used, the patient will need to be intubated and breathing will be assisted by devices (only during the surgical procedure). The surgery takes approximately two hours.

The patient undergoing rhinoplasty is released on the same day. In cases of rhinoplasty surgery associated with functional surgery, the patient must be hospitalized for a period of 12 to 24 hours.

Procedures associated with rhinoplasty

It is also common to associate rhinoplasty with other nasal procedures, such as nasal septum correction and turbinectomy. In this case, it is recommended that the surgery be performed by the plastic surgeon and the otolaryngologist. Other facial plastic surgeries such as blepharoplasty (eyelid surgery) can also be performed together.

Tests needed for rhinoplasty

In addition to the tests necessary before any surgical procedure (blood tests, cardiological evaluation, sodium, potassium, urea and creatinine levels and coagulogram), the doctor may order some imaging test.

To assess the nasal structure in more detail, a CT scan may be ordered. In cases where functional surgeries are associated, such as correction of the nasal septum, it will be necessary to: X-ray of the face and nasofibroscopy.

Care before plastic surgery

The preoperative care is: fasting for eight hours and suspension of the use of anticoagulants for at least seven days.

Breathing and feeding

Breathing becomes difficult in the first seven days due to the presence of clots in the nostrils, improving with the use of nasal decongestants indicated by the surgeon. For at least seven days, it is recommended that the diet be more pasty because, as the region will be sore and inflamed, the ideal is to avoid hard foods, which require stronger chewing and can cause discomfort.


Rest must be absolute for seven days and moderate until the fifteenth day. After this period it is already possible to return to routine activities and work, without physical effort and exercises, these are indicated only after a period of two to three months.


The postoperative period is usually painless, and when it appears, it is easily resolved with the use of usual analgesics. Hematoma formation is common and complete absorption occurs in an average period of 20 days.


Rhinoplasty scars are practically imperceptible, since the incisions are small and in places with little exposure. If there is any healing problem, there are effective treatments for this. Treatments for very evident scars range from corticosteroid creams and silicone patches that are placed on the scar, to intralesional corticosteroid injections. As a last resort, it is possible to resect the scar and, if necessary, indicate local betatherapy. The indication of all these treatments depends on the degree and the indication of your doctor.


After rhinoplasty, the strict use of sunscreen is recommended, avoiding the appearance of spots, especially if there are visible scars.


There may be bleeding through the nose, especially in the first two days after the surgery and if it is associated with the correction of the nasal septum.

Sleeping position

In the first five to seven days after surgery, it is recommended that the patient keep his head elevated, with the help of pillows, during sleep. “During this period, the possibility of bleeding is greater and this position prevents blood from being aspirated into the lung, in addition, the tongue is kept in a position where air flow is better and mouth breathing is also better”, explains the surgeon. plastic email. During this period, you should also avoid sleeping on your side and on your stomach, situations in which the nose can hit the pillow, causing pain and inflammation.

Other care

The patient should avoid lowering his head too quickly, should not blow his nose and can only wear glasses after medical clearance.


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