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The Seattle Facelift Center®
William A. Portuese, M.D.
1101 Madison Street, #1280
Seattle, Washington 98104
Phone: 206.624.6200

Facial Plastic Surgery Procedures


Will nose swelling occur due to salt and exercise after rhinoplasty:
It has been three years since open nasal surgery; you are encountering a fluid shift in your nose all due to lymphatic drainage. Fluids tend to follow the salt, and if you have had a salty meal, the nose will stay more swollen for a period of time. Exercise can also aggravate this situation.

Is nasal rinse safe to use after rhinoplasty surgery?
It is recommended and safe to use nasal rinses beginning one week after the surgery. Standard saline is the recommended nasal rinse to be used and should be used at body temperature. 14 days from the time of your surgery, you may blow your nose as often and as hard as needed. Spot bleeding in the nose is not cause concern unless there is excessive bleeding or a hemorrhage.

How does the splint affect rhinoplasty results?
Placing the splint on the nose straight is vital to obtain a straight nasal profile and nasal bones after the rhinoplasty. If the splint has been placed and is not straight, the nose bones will likely heal crooked. The purpose of the splint is to reshape the new nasal bones after they have been reset, however it is also there to protect the nose from injury.

Which produces less swelling, open or closed rhinoplasty?
Considerably less swelling will occur with a closed rhinoplasty rather than an open rhinoplasty. Open rhinoplasty should only be used on complex revision nasal surgeries. It is excessive for a routine rhinoplasty. De-fatting the nasal tip along with slight cartilage removal on the tip can narrow and refine the nasal tip to look less rounded.