Rhinoplasty Post-Procedure Instructions 

Activity 

• You will need to keep your head elevated, avoid bending your head down, straining and minimize any coughing. 

• Avoid sports and other strenuous activities for 4 weeks. 

• Do not blow your nose or sneeze through your nose for 2 weeks after surgery. 

• It is very important to begin walking with assistance today, DO NOT remain in bed. 

• No driving until 24 hours after your last narcotic pain medication dose. 

Home Care 

• Sleep with your head elevated above heart level for 3 weeks. This will help decrease swelling and soreness. A sofa cushion under your mattress works better than trying to sleep on more than one pillow. 

• You may apply cooling (not ice) pads to your nose throughout the day for the first 48 hours; the cooling pads should be left on for no more than 10-15 minutes at a time. 

• You may shower 24 hours after surgery. Do not let the splint get wet. 

• Keep the splint in place until your follow up visit. 

• Do not smoke. This delays healing and can cause your incision to breakdown. 

• Please plan to have a responsible adult with you for at least 24 hours following surgery. 

What to Expect 

• Swelling and bruising can occur 48-72 hours post op. 

• Swelling can take 6-12 months to completely resolve 

• Moderate discomfort – take pain medication as needed 

• Bloody drainage from the nose 

Medication & Comfort 

• You should take the scheduled tylenol, gabapentin, and celecoxib for pain relief as prescribed. Breakthrough pain with the opiate medications. 

• Pain medications may cause drowsiness, upset stomach, and constipation. 

• Take pain medications with food. 

• Do not drink alcohol or drive while taking prescribed pain medication. 

• Refills are only available during office hours – 9am to 5pm, Monday through Friday. If you feel you need more pain medication, please call during those times. 

Call the nurse line (806 810 5828) if you notice: 

• More swelling on one side than the other. 

• Large spots of drainage that soak through the bandages. 

• Severe pain not responding to medication. 

• Fever greater than 101°F 

• Difficulty breathing 

• Signs of infection: If you notice foul-smelling drainage, redness, excessive swelling and pain in the treated areas, please notify us immediately. 

• Final Results: Expect the best results 6-12 months AFTER the surgery. 

If you have an issue after hours, contact Dr. Boonipat directly at 603 731 6888 

I have read and understand ALL the above instructions. I understand that the following instructions are solely my responsibility for a better post-surgical recovery. I understand that it is my responsibility to ask the surgeon about any questions or concerns related to my procedure, health, and healing process.