What exercise can make my nose longer

Course of treatment

Follow-up treatment after a nose operation

Treatment after a nose operation is very important so that the result of the operation is not impaired or worsened by external influences. If you would like more detailed information about our aftercare in advance, please read the following 4 sections:

  1. What treatment is necessary after the operation?
  2. What happens during the healing process?
  3. Which complications can occur and how do I have to behave in order to avoid these complications?
  4. When will I be able to work or socialize again?

1. What treatment is necessary after the operation?

a) nose cast: The nasal cast stabilizes the nose or the processed bones and cartilage so that they do not shift and heal in the desired position. It remains for 8-10 days and is then removed in the practice. An external nasal splint is usually not necessary for surgery on the cartilage.

b) tamponade: Consists of a small latex tube filled with soft foam. It is used to "fill in" the cavities so that no secretion collects there. This is intended to suppress secondary bleeding. It will be removed after 1-3 days. Since it is made of latex (like an examination glove, rubbery) it usually slips out easily and does not cause any pain! If little had to be done inside the nose, tamponade is usually not necessary.

c) Inner rail: Consists of soft silicone, possibly with a breathing tube. This splint prevents the mucous membrane of the turbinates from growing together with the mucous membrane of the nasal septum. (Synechia) When the internal injuries have largely healed and the swelling has subsided, the splint can be removed. If little had to be done inside the nose, a splint is usually not necessary.

d) Tape: After removing the plaster, it is usually necessary to tape the bridge of the nose through a plaster. This is to avoid increasing swelling on the bridge of the nose, especially in the so-called Supra Tip region, i.e. immediately behind the tip of the nose. The taping is carried out for about 3 weeks. If it is not possible during the day, it can be done in the evening and at night.

e) antibiotic, ointment, rinse: If a splint has been inserted, antibiotic therapy is useful to prevent the development of a sinus infection (sinusitis). In order to loosen blood crusts at the nasal entrance, please apply Bepanthen nasal ointment several times a day in the area of ​​the nostril. Rinsing with water, Emser salt, e.g. with a nasal douche are useful to clean the inside of blood residues, secretions, etc.

f) Thread: is mostly not necessary as dissolvable threads are used.

g) Possible cortisone injections: After about 6 weeks and later, an increasing formation of connective tissue can be observed on the bridge of the nose in the course of healing. As a result, the shape and in particular the profile can be permanently changed. The formation of connective tissue is suppressed and repressed by cortisone injections. Several injections may be required approximately every 4-6 weeks.

2. What happens during the healing process?

a) swelling: The nasal mucous membrane swells up inside. As a result, breathing is sometimes restricted or not possible at all for several days. You will then have to breathe through your mouth. Nasal spray can be used temporarily to reduce swelling. The skin on the bridge of the nose and especially on the tip of the nose swells. The result is only visible after the swelling has completely subsided 6-12 months after the operation. A lot of patience or time is required for a final assessment.

b) hematomas: There is discoloration that is more or less pronounced. After 3 weeks these are usually gone. The discoloration can be covered with makeup. In rare cases, the bruise also causes discoloration of the conjunctiva, which also usually disappears after 2-3 weeks.

c) pain: As a rule, there is no particularly severe pain, e.g. comparable to a toothache. The swelling can lead to dull symptoms such as headaches or flu. The upper jaw can hurt. We will provide you with pain medication that you can take if necessary.

d) Numbness and furry feeling at the tip of the nose: Even months after the operation, there is often numbness at the tip of the nose and sometimes the upper lip. When the nerves have recovered, this discomfort goes away again.

e) Tip of the nose a little too high at first: After the operation and after the nasal cast has been removed, the tip of the nose is usually higher than intended. Occasionally it looks unnatural (pig nose). Over the next few weeks, the tip of the nose slowly descends.

3. What complications can occur and how should I behave in order to avoid these complications?

a) Postoperative bleeding: To avoid rebleeding, aspirin and / or blood thinners must not be taken in the first week. The upper body should be kept high for the first three days. Lying flat should be avoided. Quiet must be observed.

b) Loosening or detachment of the nasal cast: The plaster of paris must not get wet when washing and / or showering.

c) To reduce the swelling, the following rules of conduct apply: Cooling for the first three days, do not lie flat, but elevate the upper body for the first three days after the operation. Then sleep at night with your upper body slightly raised. This allows the lymphatic fluid to flow downwards better. Physical exertion must be avoided. Heart rate and blood pressure increase with activity. This pumps more blood through your nose and causes swelling. Also, don't chew too much (steak, chewing gum, etc.) and reduce facial expressions. Here, too, rest promotes swelling. No intense sun exposure for the first 6 weeks

d) Slipping of the bones and cartilage:

  • Heavy glasses can affect the way the bones grow together or the position of the nasal bones. If necessary, please bring your glasses with you to the cast removal after 8-10 days. If necessary, it makes sense to get contact lenses from the optician before the operation.
  • A blow on the nose can destroy the result. The bones only heal firmly after two to three months. Depending on the sport, you have to take this into account.
  • Intense facial expressions, laughter, grimaces, etc. also lead to movement of the nose and should be avoided.
  • When blowing your nose, sneezing or coughing, the front of the nose should not be closed, otherwise pressure will arise that will push the nose apart from the inside and affect the sinuses.