Recovery for both open and closed rhinoplasty is very similar. The surgery typically lasts about three hours and is performed with general anesthesia. After a short recovery room visit, patients go home the same day.
Pain is controlled with mild narcotics the first 2-3 days, after which, most patients switch to Tylenol and mainly experience congestion. My patients do not receive traditional nasal packing, a known discomfort from an older time. Instead, some patients may have silastic sheeting or internal splints placed temporarily if additional support is needed.
At one week, all sutures, splints, and casts are removed. The nose is cleaned and most of the congestion is gone. Bruising usually takes about 7-10 days to resolve. Most of the major swelling takes about 2 weeks. By 5-6 weeks after surgery most of the swelling is gone.