Recovering From Rhinoplasty
San Francisco facial cosmetic surgeon David C. Mabrie, MD, FACS, specializes in rhinoplasty and revision rhinoplasty. San Francisco and Oakland patients, as well as those traveling from around the country and world, visit his Bay Area and downtown offices for his knowledge and skill. Request a consultation online or call us at (415) 445-9513 today.
To help you plan for your rhinoplasty surgery, here is some important information on recovery time. Dr. Mabrie categorizes rhinoplasty recovery into 3 time periods:
- Immediate Recovery (5-7 days after surgery) - During this time, you will want to take time-off work to promote optimal healing and wellness
- Intermediate Recovery (1-3 months after surgery) - 50-75 percent of the surgery results will be evident
- Final Recovery (1 year after surgery) - Complete results of the nasal improvements are apparent
Background: This African American man, in his 20's, had long felt his nose distracted from the rest of his face. While he liked it's shape in general, he felt the bridge was underdeveloped, had a 'scooped out' appearance, and looked like a child's nose. He searched for a surgeon familiar with ethnic rhinoplasty. He liked Dr. Mabrie's videos and consulted with him in his San Francisco office about ...
Background: This young woman from the East bay wanted to subtly change the look of her nose but was not wanting surgery. She consulted with Dr. Mabrie at his San Francisco office about Non Surgical Rhinoplasty. Dr. Mabrie's Assessment: "This case illustrates the importance of a smooth nasal contour. With Rhinoplasty surgery her nose would been reduced, breaking the bone and cutting the cartilage....
Background: This East Bay woman long considered surgery to narrow her nostrils. She consulted with Dr. Mabrie at his San Francisco office regarding Surgical Rhinoplasty. Dr. Mabrie's Assessment: "I recommended Non-Surgical Rhinoplasty to augment the nasal bridge and tip, combined with an in office surgical nostril reduction." Procedure: She received 1syringe of Restylane to her nose tip and brid...
Background: This east bay woman consulted with Dr. Mabrie in his San Francisco office about non-surgical Rhinoplasty. In general she was happy with the overall size and character of her nose, but wondered if some small improvements could be made. Her two main concerns: 1. She didn't want her nose to look "done". 2. She was afraid of needles! Dr. Mabrie's Assessment: “This ca...
Background: This young lady was fairly happy with her nose, but felt it was a little round and a little undefined. She was interested in definite changes, but nothing too drastic. She searched online for a facial plastic surgeon specializing in non-surgical Rhinoplasty in San Francisco, found Dr. Mabrie's before and afters, and made a consultation. Dr. Mabrie's Assessment: This young woman was ve...
Background: This young San Francisco woman was interested in Rhinoplasty surgery. She chose Dr. Mabrie because of his experience with preserving ethnic characteristics and maintaining natural results. She wanted a softer nose, like her mother's, with better symmetry, a smaller tip, and a straighter profile. Lastly, when she smiled and said certain words, like, "no", her nasal tip...
Background: This woman had long considered Rhinoplasty surgery. Her nasal tip was full and similar in size and shape to the nose of her father. While she liked his nose on him, she wanted something softer and more feminine. After searching several plastic surgery websites of doctors in San Francisco, she found Dr. Mabrie and scheduled a consultation. Dr. Mabrie's Assessment: "This African America...
Background: This young woman had a previous Rhinoplasty years ago that had given good results. Years later she started to see a change in those results. She came in to see Dr. Mabrie for a consult with specific goals in mind. 1. Narrow the nasal bridge. 2. Make the tip less round. 3. Smooth the contour of her nose. 4. Improve her profile. Dr. Mabrie’s Assessment: "After her initial Rh...
Background: This 24 year old African American woman consulted with Dr. Mabrie about Rhinoplasty in San Francisco to improve the appearance of her nose. She explained that she would like the bridge thinner and tip more detained to match her face. Dr. Mabrie's Assessment: "The nose actually has a nice size and shape to start. There is a small bump on profile and the tip could use some definition. T...
Background: This 21 year old Tourism student is of Spanish and Italian ethnic background. She had a history of trauma a few years ago during a water polo incident. Her concerns were to: 1. Primarily reduce the bump in her nasal dorsum, 2. Resolve her difficulty in breathing, 3. To smooth the lines in her nose, and 4. To maintain the look and character of her nose. Dr Mabrie&...
Immediate Recovery (5-7 days after surgery)
Dr. Mabrie performs rhinoplasty in San Francisco under general anesthesia. Typically, the procedure takes between 2 to 4 hours. Rhinoplasty surgery is generally an outpatient procedure, meaning that you may go home the day of the procedure, unless the surgery starts late in the evening, in which case an overnight stay in the hospital is an option. You will need a close friend or family member available to drive you home the night of surgery.
Outside nasal bandaging is worn and a splint may be used if the nasal bones were manipulated for the procedure. Dr. Mabrie does not routinely place internal packing inside the nose, which provides for greater patient comfort post-operatively.
Patients are usually pleasantly surprised by the low degree of pain during the Immediate Recovery period after rhinoplasty surgery. Any pain is classified at a 3 to 4 level (on a scale of 1 to 10). Discomfort is adequately treated with a prescription oral pain medication. There may be some nausea from the general anesthetic during the first couple of days.
During the Immediate Recovery stage, patients are free to walk around, and depending on their level of comfort, may walk outside, go shopping and/or run errands. It is important during the first 48 hours for the individual to do as much as possible to avoid bleeding. Therefore, patients should not bend-over, strain and/or perform heavy lifting, or blow the nose at this time. Keeping the head elevated and avoiding medications like Aspirin, Advil, and Motrin are important.
About 5 to 7 days after surgery, patients have their first post-operative appointment to remove the stitches and bandages. Bruising and swelling will be visible; however, after 7 days it is usually not obvious that they have had a surgical procedure.
Intermediate Recovery (1-3 months after surgery)
While patients are partially recovered after a week and most cannot tell they've had surgery, their final surgical results are not evident. The rate of swelling decrease varies in different anatomical places. The bridge swelling dissipates much faster than the tip, which takes the longest.
At 3 months, the scar under the tip of the nose is less apparent. While patients may have an idea of what their final result will look like in this stage, it is not accurate yet. The swelling will continue to decrease over the next few months.
Final Recovery (>1 year after surgery)
The Final Recovery stage after rhinoplasty may be greater than one year, especially if tip work has been done. Even people who haven't had surgery may have subtle changes in their nose as they grow older. It is natural for the nose to have minor shifts in swelling and scar tissue even a few years after the surgery, so it is a good idea for patients to see their rhinoplasty surgeon for follow-ups once a year.
What About Scarring After Rhinoplasty?
Dr. Mabrie usually performs open rhinoplasty surgery, which requires a small incision at the base of the nose. After rhinoplasty this incision may be red or pigmented for a few weeks to months, but remains concealed under the nose. After several months the incision becomes virtually invisible in most cases.