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Plastic Surgery Washington DC

Philip S. Schoenfeld, M.D.

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What happens in the post-operative visit following a rhinoplasty?

November 6, 2013 by Dr. Schoenfeld

After the nose job During the first post-operative visit, all dressings, splints, casts, and sutures will be removed. I do not pack the nose so if anything needs to be removed from inside the nose, such as after septoplasty, it will be an easy experience.

The post-operative appointment is not comfortable, but it is not painful. I will usually re tape the nose to help keep nasal swelling down, and the tape will remain on for about two to three more days. There is a great deal of variability in how long rhinoplasty surgeons suggest keeping the nose taped post operatively. I treat a very active and private patient population.

Most of my patients need to return to work as soon as they feel well enough to. I have not found that extending the period in which tape should stay on the nose after rhinoplasty has had any positive effect the surgical outcome. In cases of very thick skin and complex nasal tip work, I may elect to inject a low concentration of steroid into the nasal tip to prevent prolonged edema. The tip is usually pretty numb after rhinoplasty so the injection is not particularly painful.

In the population of patients who I perform cosmetic surgery on and in those who are undergoing rhinoplasty, everyone wants to know when they can return to activity. I have had surgery and I have worked out religiously for a long time. However, I needed to recover from the surgery and a good surgical outcome was worth more than getting a work out in that could put my recovery at risk. I tell my rhinoplasty patients that they can walk as much as they would like immediately following surgery.

I advance activity levels over the next 3-4 weeks. I do not encourage heavy exercise until at least 3 weeks have elapsed and even then I ask my patients to increase their level of exercise slowly. Issue such as prolonged edema of the nose and shifting of cartilage are real potential complications if activity levels are too high too soon. I also advise against any sport or activity where the nose could be potentially hit for at least 6 weeks following rhinoplasty. I figure, there is a great deal of time and expense that the patient has committed to the rhinoplasty procedure. Why rush through things before your body is really ready to take the next step.

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Reviews

  • I met SEVERAL renowned plastic surgeons across multiples states before choosing the right one to perform my surgeries. After the first few minutes with Dr. Schoenfeld, it became very apparent to me that he was the person I'd entrust with my operations. He is the consummate approach, level of expertise, and experience provided me a tremendous amount of comfort, I knew that my expectations would surely be met. As it turns out, I not only made the right choice, but Dr. Schoenfeld was able to surpass my expectations, everything turned as he said it would and even better than I had hoped, Dr.…

    • 5 stars
  • I went to Dr. Schoendfeld to have a Septoplasty/Rhinoplasty and I couldn't be happier. He called to check up on me multiple times after my surgery to make sure I was doing good and I love the appearance of my new nose. He was able to make it fit my face and make it look as natural as possible while still fixing everything I wanted to be corrected, I am also able to sleep so much better at night since I can breathe out of my nose with ease.

    • 5 stars
  • Dr Schoenfeld is a fantastic doctor. He is respectful and makes an effort to get to know his patients. He is experienced and quite good at what he does. I had seen him for several years for Botox and fillers and was always happy with the results—very natural and never overdone. I had some jowls and neck rings developing, and these were beyond anything that injectables or good skin care could fix. I knew I could trust Dr. Schoenfeld to fix these problems and to deliver an aesthetically pleasing and natural looking result.

    I am a busy person with a career and many other obligations,…

    • 5 stars
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(301) 652-7368
5454 Wisconsin Ave #1625, Chevy Chase, MD 20815

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