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NEWS

Minimise Bruising After A Rhinoplasty

Minimise Bruising After A Rhinoplasty

One of the most frequently asked questions when undergoing a nose re-shaping is how to minimise bruising after their surgery. Questions also include how severe their bruising may be, how long the bruising will last and what can be done to minimise it.
In our experience at Berkeley Square Medical, the vast majority of patients who experience bruising is actually very minimum to their expectations and in almost all circumstances are able to return to work bruise free after 7 days when the nasal cast is removed completely.
The most important factor to minimise bruising is the experience of your surgeon operating on you. The bulk of nasal bruising occurs when your surgeon is making amendments to your nasal bone i.e. bridge shaving or nasal profile narrowing.
There is a blood supply to your nasal bone called the Periosteum, which when disrupted during changes to your nasal shape will result in additional bruising around the eyes and sometimes down to your cheeks. By always taking the extra time to elevate the periosteum when it is necessary to cut the nasal bones, we are able to minimize the trauma to your periosteum and thereby reduce your bruising.
There are also a number of personal and medical aspects of patients that can lead to more bruising:

Your Age:

Older patients tend to have more fragile blood vessels and therefore can bruise slightly more. Patients between 18-35 generally heal very quickly.

How Easily Do Your Bruise:

If you, or any family members have any history of excessive bruising or bleeding after procedures or in general, it is important that you prepare yourself for a repeat of these circumstances.

Are You A Smoker:

Smoking restricts the bodies ability to clot after incisions are made and this leads to a slightly prolonged recovery. The longer the recovery, naturally the longer your bruising will take to disappear.
Click here for more information about smoking before and after a Rhinoplasty.

Finally, there are a number of tips that our Rhinoplasty Specialist  will recommend in order to limit the extent of bruising and swelling:

  • Avoid high dosages of any multivitamins/herbal supplements and herbal teas etc. that contain high levels of Vitamin E, Ginseng, Gingko and fish oils. The reason behind this is that al these supplements conflict with the general anaesthesia used in your Rhinoplasty surgery and may lead to extra bleeding during your surgery.
  • Ice packs, or even better, a bag of frozen peas, applied to the cheeks for the first 2 days after surgery. Cold packs naturally freeze the progression of swelling and bruising, so patients often never see the purple bruised skin and have a more yellow tint to their bruising. Yellow pigment on the bruising is considered the final stage of discolouration before fully healing.
  • Keeping your head elevated can help reduce swelling and may also decrease bruising. This is important on the first few nights of rest after surgery and you may want to practice sleeping you’re your head elevated and completely on your back for a few night before your surgery.
  • Herbal supplements such as Bromelain and arnica may be of benefit. Bromelain is an enzyme found in Pineapples and some patients eat fresh pineapple for a few days before surgery. Alternatively, Bromelain can be purchased as a tablet in most health shops.

Arnica Tablets is a homeopathic preparation and has been known to help with the bodies response to bruising. Generally we advise the dosage of 30C tablets taken three times a day, starting 7 days before your Rhinoplasty procedure.

If you would like to prepare yourself as best as possible with your recovery and learn further how to minimise bruising after a Rhinoplasty surgery, please email us at info@berkeleysquaremedical.com or contact us on 02078877607.

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