Bangpakok Hospital

Nose Surgery

What Is Nose Augmentation?

Nose augmentation, or rhinoplasty, is a surgical procedure performed to correct or modify the shape and size of the nose so that it appears more proportionate and suitable for the individual’s facial features.

The procedure may involve adjusting the internal bone or cartilage structure and using suitable materials such as silicone implants, cartilage, or synthetic materials, depending on the patient’s anatomy and the surgeon’s assessment.

Who May Not Be Suitable for Nose Augmentation?

Nose augmentation may not be suitable for individuals who:

  • Have uncontrolled medical conditions, such as high blood pressure, heart disease, or diabetes, which may increase surgical risks
  • Are pregnant or breastfeeding
  • Have a blood-clotting disorder
  • Have an infected wound, inflammation, or a cold affecting the nasal area; treatment should be completed before surgery

Types of Nose Augmentation

  1. Open Rhinoplasty
  2. Closed Endonasal Rhinoplasty

Preparation Before Nose Augmentation Surgery

  1. Stop taking NSAID anti-inflammatory medicines, such as aspirin and ibuprofen, approximately two weeks before surgery.
  2. Avoid supplements and herbal products, such as fish oil and vitamins. Stop smoking and avoid alcohol for at least two weeks before surgery.
  3. On the day of surgery, do not wear makeup or false eyelashes. It is recommended to wash your hair before the day of surgery.
  4. Arrange for someone to accompany you home after the procedure. Driving yourself home is not recommended.
  5. Plan to take at least three days off work after surgery to allow the body to recover and reduce discomfort.
  6. Do not bring jewellery or valuable belongings on the day of surgery.
  7. Inform the doctor of any medication allergies and underlying medical conditions from the initial consultation.
  8. Those who take regular medication should bring it for the doctor to review before surgery.

Care During the First Two Hours After Surgery

  1. Lie on your back with your head elevated approximately 30–40 degrees, or use two pillows. Avoid sleeping on your side.
  2. Apply a cold gel pack immediately. Do not place it directly on the bridge of the nose. Apply it evenly between the eyebrows and around both sides of the nose, using equal pressure on each side.

Care After Returning Home

  1. Apply a cold gel pack during the first one to three days after surgery to help constrict the blood vessels, reduce bleeding, and minimise swelling. Keep the wound dry.
    Should bleeding occur, gently wipe the area with gauze and apply light pressure until the bleeding stops. Apply the cold pack for 10–15 minutes at a time, four to five times daily.
  2. While sleeping, lie on your back with your head elevated approximately 30–40 degrees, or use two pillows. Do not sleep on your side. Continue sleeping face-up for approximately one month. A U-shaped neck pillow may be used to help keep the nose and implant in a straight position and reduce swelling.
  3. Should swelling, bruising, or greenish discolouration appear on the third day, apply a warm—not hot—compress alternately with a cold compress to help reduce swelling.
  4. From the fourth day onward, apply a warm compress at least four to five times daily to help reduce swelling and support blood circulation.
  5. Get plenty of rest. Avoid strenuous exercise, impacts to the nose, and bending the head downward.
  6. Avoid wearing glasses with arms or frames that place pressure on the nose for approximately one month, as this pressure may cause the nose to shift. Contact lenses or glasses that do not rest on the nose are recommended when necessary.

Surgical Wound Care

  1. To clean the wound, soak a cotton bud in saline solution and gently clean around the surgical area. Do not rub or scrub. Should bleeding occur, gently press the wound with a cotton bud for a short period until it stops.
    Clean the wound twice daily, in the morning and evening. Pat the area dry and apply Terramycin ointment or cream after each cleaning.
  2. Take the prescribed anti-inflammatory medicine, antibiotics, and medication for swelling as instructed by the doctor. Pain medication may be taken every four to six hours when necessary. Follow the doctor’s instructions carefully.
  3. Should nasal itching or a runny nose occur, gently clean the area with a cotton bud. Avoid blowing the nose forcefully.
  4. Do not remove or loosen the nasal tape or dressing. It acts as a soft splint that supports the implant and helps keep it straight. Should the tape become loose or fall off, return to the clinic so that the doctor can reapply it.
  5. Approximately seven days after surgery, the doctor will schedule a follow-up appointment to examine the wound inside the nose, remove the tape, and remove the stitches.
  6. After the tape has been removed, continue applying warm compresses when swelling remains until it gradually subsides.
  7. Check the nose daily to ensure that the implant remains straight. Seek medical attention promptly should it appear tilted or displaced.
  8. When performing daily activities or going outdoors, wearing a face mask is recommended to help protect the wound from dust and small particles that may increase the risk of infection.

Food and Beverage Recommendations

  1. Avoid dietary supplements and vitamins for approximately two weeks.
  2. During the first two to three days after surgery, avoid hot foods because the roof of the mouth and the nasal wall are close together. Heat may dilate the blood vessels and increase bleeding from the surgical wound. Soft foods are recommended to minimise movement around the nasal area.
  3. Avoid spicy foods, fermented or pickled foods, and strong-smelling foods, as they may contribute to swelling, coughing, sneezing, a runny nose, delayed wound healing, or wound infection.
  4. Avoid alcohol for approximately one month and smoking for approximately one week. These may increase facial blood flow and swelling, delay wound healing, increase bleeding, and contribute to inflammation or infection.
  5. Choose foods rich in protein and vitamin C, such as eggs, milk, meat, oranges, and lemon juice, to support the healing process.

Expected Recovery

  • Bruising may occur around the eyes and nose. The severity varies depending on each individual’s skin and condition. Bruising generally fades within approximately two to four weeks. A warm compress may help the bruising gradually subside.
  • The nose may take approximately three to six months to fully settle into its final shape.

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Please contact our staff to make an appointment before receiving the service.Tel. 02-129-5500

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