Following a rhinoplasty surgery in Riyadh, proper post-operative care is essential to minimize swelling, prevent complications, and ensure the best final result. Your surgeon will provide a personalized set of instructions, but here is a comprehensive guide to general post-surgery care.
The Critical First Week (Day 1 - 7)
This is the most crucial period for healing. You will have a cast and/or splint on the outside of your nose, and possibly soft splints or packing inside.
InstructionWhy it is ImportantHead ElevationSleep on your back with your head elevated (at least 30-45 degrees, using 2-3 pillows or a recliner) for the first 1-2 weeks. This is the single most important action to reduce swelling and bruising. Do not sleep on your side or stomach.Cold CompressApply cold compresses (or ice wrapped in a towel) to your cheeks and eyes, NOT directly on the nose or the cast, for the first 48 hours to help manage swelling and bruising.MedicationTake all prescribed medications, including antibiotics (to prevent infection) and pain relievers, exactly as directed by your surgeon.Rest and ActivityRest is paramount. Limit activity to light walking around the house. Do not bend over, lift heavy objects (over 10 lbs/4.5 kg), or strain, as this increases blood pressure and risks bleeding.Nasal DrainageSome light bleeding and mucus drainage is normal for the first day or two. Change the gauze "drip pad" under your nose as needed, but do not blow your nose. Sneeze with your mouth open to relieve pressure.HygieneYou may typically shower from the neck down, but you must keep the splint/cast completely dry and clean. Clean your face gently around the splint.
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After the Splint is Removed (Around Day 7-10)
Your surgeon will remove the splint, internal splints, and most sutures during your follow-up appointment. While you will see a big improvement, your nose will still be very swollen.
InstructionWhy it is ImportantSaline SprayUse saline nasal spray frequently to keep the inside of your nose moist and to help clear crusting and debris.Gentle CleaningFollow your surgeon's specific instructions for gently cleaning the inside of your nostrils with Q-tips and a prescribed ointment (like Vaseline or Aquaphor).Swelling TapingYour surgeon may apply tape to your nose for a period to help further reduce swelling and refine the shape. Follow their guidance on when and how to apply/remove it.
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Key Things to AVOID During Recovery
Item to AvoidRecommended DurationBlowing Your NoseAt least 3-4 weeks. This can cause bleeding and damage the new nasal structure.Strenuous Exercise4-6 weeks. This includes running, weightlifting, and any activity that significantly raises your heart rate or blood pressure.Wearing Glasses4-8 weeks. Glasses or heavy sunglasses put pressure on the bridge of the nose and can cause indentations, compromising the result. Use contact lenses or tape glasses to your forehead.Sun ExposureAt least 6 months. Sun exposure can cause increased swelling and, more importantly, can permanently darken bruised or scarred areas of the skin. Wear a wide-brimmed hat and use a high-SPF sunscreen when outdoors.Smoking/NicotineAbsolutely avoid for at least 4-6 weeks. Nicotine restricts blood flow and severely slows down the healing process, increasing the risk of complications.AlcoholAt least 2 weeks. Alcohol can thin the blood (increasing bleeding risk) and interfere with prescribed medications.Hard/Chewy FoodsThe first week. Chewing hard or tough foods can cause excessive facial movement, putting strain on the healing nose. Stick to soft, easily chewed foods.
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Long-Term Recovery (Months 1-12)
- Swelling: While 80-90% of the swelling subsides within the first month, the remaining subtle swelling—especially at the nasal tip—can take 6 to 12 months (or longer) to fully resolve and reveal the final result.
- Final Results: Be patient. Do not judge the final outcome of your surgery until at least one year has passed.
- Trauma: Continue to be extremely careful to protect your nose from accidental bumps or trauma for the first few months. Avoid contact sports for at least 3-6 months.
Always follow the precise, individualized post-operative instructions provided by your certified plastic surgeon in Riyadh. If you have concerns about excessive bleeding, severe pain not managed by medication, or a fever, contact your surgeon immediately.

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