Rhinoplasty bleeding is often minimal provided that the surgeon uses meticulous techniques, which can also lead to shorter social recovery (no outward signs of the surgery), and natural results that can last a lifetime, according to California Surgical Institute website.
Rhinoplasty, or nose job in layman’s term, typically results in 1-2 weeks social downtime, which is closely linked to the amount of postop bruising and swelling.
The list below shows the “core principles” in minimizing the amount of rhinoplasty bleeding.
- The patients should be in their optimal health.
Hypertension, blood disorder, and other chronic medical conditions can lead to increased bleeding. Hence, rhinoplasty or any other elective plastic surgeries require all patients to pass a rigorous lab screening.
While some of these conditions can be controlled through medications or healthier lifestyle, it is important to note that some factors are not within the patient or surgeon’s control. For instance, older individuals often have more fragile blood vessels than younger ones and so they may experience more bleeding and postop bruising.
All drugs and supplements with blood thinning properties are discontinued for at least 2-3 weeks before surgery and about a week afterwards to prevent bleeding and excessive postop bruising. The same rule may also apply to smoking and alcohol.
However, some doctors recommend Arnica montana (homeopathic remedy) and some “special” diet known to promote healing.
- Use of drugs known to constrict the blood vessels
The use of local anesthesia combined with epinephrine—a drug that results in the constriction of blood vessels and thus reduces the amount of bleeding—is known to promote healing.
Decongestants like Afrin may also minimize the amount of bleeding by constricting the blood vessels.
- Keep blood pressure low at the time of surgery
Board-certified plastic surgeons only work with board-certified anesthesiologists to ensure patient safety.
Qualified anesthesiologists know that keeping the patient’s blood pressure low during surgery under general anesthesia can reduce bleeding. Also, one of their tasks is to monitor the patient’s vital signs to prevent serious complications.
- Avoid certain activities during the initial healing stage
Sneezing and blowing one’s nose should be avoided for 2-4 weeks because doing so can trigger bleeding.
It is important to note that despite best efforts, some patients remain susceptible to bleeding and thus they are required to use nasal packing while they recover.