The short-term postoperative begins about 15 days when the nose begins its healing and healing process. During this period, the healing process has already started, and the nose begins to slowly deflate. This period is especially important because it is necessary to evaluate how the inflammatory and scarring process is resolved and that its gradual disappearance occurs correctly. During this entire phase, you may continue to feel strange. The aesthetic changes that you will appreciate throughout this phase are not permanent; that is to say, your nose “is not going to look like this.”
- The sutures must have fallen completely before the first 15 days (we only use absorbable sutures), especially those that are not internal, such as those of the columellar and those at the base of the nasal wings. If they have not fallen, they must be removed to prevent them from becoming intolerant or causing inclusion cysts. These situations, although mild, can be the cause of slower or defective healing.
- If the deflammation is taking place evenly and at a good rate, nothing needs to be done. If areas that tend to retain inflammation are detected (such as in the middle of the back or above the tip), it may be a good measure to use strips of tape to guide these areas. There may be an apparent worsening of the inflammation from the first fifteen days since it hardens, especially at the tip.
- On very special occasions, when the nose areas that are having problems to deflate are not improved with the previous measure, we resort to the infiltration of corticosteroids to ensure control. Corticosteroid infiltration should never be used to “accelerate” the nose’s inflammation when it has a satisfactory evolution. Properly used corticosteroids can reverse scarring or inflammatory problems, especially at the tip and supratip, but can produce uncontrollable results or cause additional problems when inflammation and healing are correct.
- Fine, normal skin tends to have “on track” to reduce inflammation and scarring by the end of the 3rd or 4th month. Thick skin tends to have a greater tendency to retain inflammation and to require cortioid injections to control it.
- Towards the end of the 3rd or 4th month, the nose’s back should be quite deflated, the tip will be softer, and the mobility of the nose (and face) will be more natural. You will still notice the skin on your nose that is puffy, but you will gradually regain sensitivity over the next few months.Evolution of the nose from a functional point of view
From a functional point of view, respiration may worsen during the first 15 days due to the internal inflammation suffered as a consequence of the treatment of the nasal septum and / or turbinates. After the second or third week, breathing has usually normalized, although slight difficulties may be noted for an additional three or four weeks. If this is the case, you may recommend a nebulizer to help reduce the nose’s internal inflammation. The prolonged use of a sterile saline solution or seawater at low pressure is always recommended to keep the nose’s internal mucosa in good condition.
Think that the postoperative period of a Rhinoplasty is a long-distance race. You will need to be patient as the changes will take place slowly and progressively throughout no less than a year. The short-term changes after rhinoplasty are not remarkable; rather, they tend to be stressful since they will not yet reflect the operation’s final result.