How long does swelling last after rhinoplasty?

3 stages of swelling after nose surgery

With a rhinoplasty the swelling goes through three distinct phases: acute, subacute and late swelling.

Acute phase

The acute phase begins immediately after surgery and is the period when the bruising and swelling after nose surgery are at their most noticeable. During the first 72 hours the nose can feel tight and tender because of the intense swelling. Healing begins during this phase, and careful aftercare is important in order to keep the swelling after nose surgery under control and reduce the discomfort.

Subacute

After the first few days the swelling after nose surgery moves into the subacute phase, which lasts from the end of the first week until roughly the end of the second month after surgery. During this stage the swelling gradually decreases. The reduction in swelling after nose surgery does not look the same for every patient, and can vary depending on factors such as activity levels, head position, dietary choices and general health.

Late swelling

The final stage of swelling after nose surgery can remain from the third month up to a year, or longer in some cases. This phase is defined by a slow but steady resolution of the remaining swelling, mainly in the tip of the nose. The late swelling is often less noticeable to other people but can cause worry for patients who are eager to see their final results. If you have any concerns, you should contact your surgeon.

Timeline

Recovery from rhinoplasty is a gradual process. Here is what you can expect:

One week after surgery

During the first week you will experience the peak of the acute swelling and bruising. Most patients notice that the most visible swelling after nose surgery starts to subside towards the end of the first week.

Two weeks

At two weeks the swelling starts to move into the subacute phase, with gradual improvements.

3–4 weeks

Between three and four weeks most people can return to their usual activities, with much of the visible swelling resolved.

6 weeks

At six weeks the majority of the swelling has subsided, and the new shape of the nose becomes clearer.

3–6 months

During this period healing continues and the remaining swelling gradually decreases.

12–18 months

By this point the swelling after nose surgery should have resolved completely, and the final results become visible.

What you can do to reduce swelling after nose surgery

There are in fact several steps you can take to reduce the amount and the duration of swelling after nose surgery, which supports a smoother and more comfortable recovery. Your surgeon will also give you detailed care instructions tailored to your specific needs.

• Make sure to keep your head raised above your heart, especially when you sleep. Use extra pillows or a foam wedge so that you can keep this position through the night. Bending over and keeping your head low will make the swelling increase and persist.
• Place cold compresses around the swollen areas and avoid direct contact with the nose during the first 48 to 72 hours after surgery.
• Make sure you drink plenty. Water helps to flush toxins out of the body and reduces the likelihood of oedema (fluid retention).
• Eat food that is rich in vitamins and minerals, as this can support your body's healing process. Foods high in sodium should be avoided, as they can make the swelling after nose surgery worse.
• Hold off on heavy lifting and other strenuous exercise until your surgeon gives the go-ahead. Physical activity can increase blood flow and consequently swelling.
• Stay away from smoking and drinking alcohol, as these can impair healing and make the swelling worse.

When to contact your surgeon

While a certain degree of swelling and discomfort is normal after rhinoplasty, some signs require you to contact your surgeon immediately.

• Excessive swelling
• Severe pain or discomfort
• Signs of infection
• Difficulty breathing
• Unusual symptoms
• Excessive bleeding (a small amount is expected).

Do not wait for your next scheduled follow-up appointment if you experience any of the symptoms above or have concerns about your healing process. Your surgeon's priority is your health and safety, and they are there to support you throughout your recovery. Through the Adoreal platform you can easily get in touch with your surgeon both before and after surgery.

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