Table of contents

Post-rhinoplasty care


Key sources

The following summarized guidelines for the evaluation and management of post-rhinoplasty care are prepared by our editorial team based on guidelines from the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF 2017). ...
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Diagnostic investigations

Preoperative assessment
As per AAO-HNSF 2017 guidelines:
Evaluate rhinoplasty candidates for nasal airway obstruction during preoperative assessment.
Assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs.
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Nonpharmacologic interventions

Postoperative nasal packing: as per AAO-HNSF 2017 guidelines, do not place nasal packing routinely at the end of surgery in patients undergoing rhinoplasty with or without septoplasty.

Perioperative care

Perioperative corticosteroids: as per AAO-HNSF 2017 guidelines, consider administering perioperative systemic corticosteroids in patients undergoing rhinoplasty.

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  • Perioperative antibiotics

Patient education

Preoperative counseling: as per AAO-HNSF 2017 guidelines, ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, provide feedback on whether those expectations are a realistic goal of surgery, and document this discussion in the medical record.
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Follow-up and surveillance

Assessment of patient satisfaction: as per AAO-HNSF 2017 guidelines, document patient satisfaction with their nasal appearance and with their nasal function at a minimum of 12 months after rhinoplasty.