Swelling After Nose surgery

Significant swelling after surgery is a frequent issue. This is something that cannot be prevented. Basically, swelling develops when the lymphatic vessels that discharge the fluid from the tissue are ruptured by surgical dissection. These have to be reconstituted first. This results in accumulation of tissue water. 

Moreover, the mechanical stress exerted on the tissue during the operation and the subsequent repair processes lead to increased blood circulation. Consequently, more blood and tissue water have to be transported via fewer outlets. 

Swelling of the nose may persist over a varying period of time. Reason for this is the thickness of the skin and soft tissue mantle as well as the severity of the surgical modifications. Therefore, the thicker the skin and soft tissue, the more fluid they can absorb. It is important to note that the more significant tissue damage has occurred, the more lymphatic channels will need to be reestablished.

It is considered that there are three different types of swelling phases. 

1. The first phase manifests itself immediately after the surgery. It is the most distinctive phase. A significant reduction usually occurs within almost two to three weeks, and the patient is then able to resume social life. 
2. The second phase lasts for several months and focuses mainly on the tip of the nose, as the skin is thicker in this area. 
3. During the third phase, only subtle changes occur due to the subcutaneous tissue. This phase is completed in one or two years after the healing of the wound has been accomplished. 

In addition to medicinal measures, the swelling can also be favorably influenced in a targeted manner by mechanical measures. Elevation of the upper body in the first few days after the operation and, if necessary, cooling of the nose will reduce the swelling more rapidly. We apply medication in a targeted manner where it is essential. 

There are many factors that can influence wound healing both positively and negatively. First of all, age plays an important role. The younger a person is, the faster the wounds heal. The recovery mechanisms still operate at full capacity. Pre-existing conditions, such as diabetes mellitus ("sugar") or kidney dysfunction, will slow down the wound healing process.