Undergoing rhinoplasty is a significant decision, whether for aesthetic refinement or functional improvement. While the long-term benefits of the procedure can be transformative, it is essential to be well-informed about the initial recovery period, particularly the first week after surgery.
This article offers a detailed overview of what patients can expect during the first seven days following rhinoplasty, including common symptoms, recommended care practices, and key milestones in the healing process.
Day 1: The Day of Surgery
Immediately following your procedure, you will be monitored in a recovery area before being discharged to rest at home. At this stage, your nose will typically be:
- Protected by an external splint or cast
- Packed internally (depending on the technique used)
- Mildly bleeding and significantly swollen
You may feel groggy from anesthesia, with possible side effects such as:
- Nasal congestion
- Facial pressure
- A sore throat (due to the breathing tube)
It is crucial to arrange for a responsible adult to accompany you home and assist you during the first 24 hours. Rest, hydration, and limited movement are highly recommended.
Days 2–3: Swelling and Bruising Peak
The second and third days post-operation generally involve the most noticeable discomfort. Patients can expect:
- Increased swelling, especially around the nose, cheeks, and eyes
- Bruising, often extending to the lower eyelids
- A sensation of nasal blockage and pressure
It is vital to avoid blowing your nose, and instead, use a saline nasal spray if approved by your surgeon. Keeping your head elevated at all times — including while sleeping — will help reduce swelling. Cold compresses (applied gently to the cheeks and eyes) may also provide relief.
Days 4–5: Signs of Progress
As the swelling and bruising begin to subside, many patients experience a noticeable improvement in overall comfort and appearance. While the nose will still feel congested, facial pressure typically decreases.
At this stage, it is important to:
- Continue avoiding strenuous activity
- Refrain from bending over or lifting heavy objects
- Avoid exposure to heat, steam, or direct sunlight
Although you may start feeling more like yourself, internal healing is still ongoing. Any cleaning or medication routines provided by your surgeon should be followed carefully.
Days 6–7: Follow-Up and Splint Removal
By the end of the first week, you will likely return to your surgeon for your first post-operative appointment. During this visit:
- The nasal splint may be removed
- Sutures or external bandages (if used) may be evaluated or taken off
- Your surgeon will assess early healing progress
You may have the opportunity to see your nose for the first time without bandages. Keep in mind, swelling will still obscure the final shape, especially at the nasal tip. Most patients are cleared to return to non-strenuous activities or work shortly after this point.
Normal vs. Concerning Symptoms
Common and expected side effects:
- Mild to moderate pain
- Swelling and bruising around the nose and eyes
- Nasal congestion or stuffiness
- Temporary loss of smell or taste
- Clear or slightly bloody nasal discharge
When to contact your surgeon immediately:
- Intense or worsening pain not managed by medication
- Profuse nasal bleeding
- Fever or signs of infection (e.g., redness, pus)
- Vision disturbances
- Sudden or severe swelling on one side of the face
General Care Tips for the First Week
To support a smooth recovery:
- Sleep with your head elevated to reduce swelling
- Avoid wearing glasses directly on the nose
- Do not smoke or consume alcohol
- Eat soft, nutritious meals and drink plenty of water
- Follow your surgeon’s care plan exactly
Patience and caution during the first week lay the foundation for a successful outcome.
Final Thoughts
The first week after rhinoplasty is a critical phase of healing. While temporary discomfort, swelling, and bruising are common, these symptoms typically improve with each passing day. By adhering to your surgeon’s instructions and allowing your body to rest, you support optimal results both aesthetically and functionally.
Understanding what to expect after surgery helps reduce anxiety and improves the overall experience. Remember, recovery is a gradual process — and your results will continue to refine over the following months.
