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Seattle / Bellevue's Choice for Personalized, Natural Rhinoplasty Results

  • Double board-certified facial plastic surgeon
  • Personalized approach with functional & aesthetic outcomes
  • Trusted by executives, artists & patients worldwide
  • Extensive rhinoplasty experience & natural results

Learn why discerning patients from across the globe — from NBA leadership and Grammy-nominated artists to Broadway and Hollywood leading actresses, Fortune 500 executives, and prominent business owners — trust Seattle facial surgeon and Author of an Award Winning Beauty Theory Dr. Philip Young and his team.

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Reshape Your Nose, Transform Your Face

Rhinoplasty is a plastic surgery procedure of the nose that changes the external and internal shape of the nose. Of all the things that can be done to your face, the rhinoplasty procedure can have one of the biggest impacts on the beauty of your face.

Being in the center of your face, changing the appearance of your nose can have significant effects on the balance of your face. With rhinoplasty, these effects on balance and symmetry can markedly improve your facial aesthetics. In Dr. Young’s new theory on facial beauty, the nose is one of the centerpieces of the face.

The eyes, nose, and mouth are the major shapes within the face. The nasal tip of the nose assumes a very significant distinction: it is one of the major primary Circles of Prominence within the face. The iris and the center of the lower lip are the other primary circles within the eyes and mouth regions.

Rhinoplasty Overview

Balance of the Face

Your face will assume symmetry and be in balance based on where your primary circles lie. Balance is the distance between the iris and the middle part of the face when the eyes are equal to the distance between the horizontal level of the iris and the nasal tip, between the nasal tip and the center of the lower lip, and between the center of the lower lip and the bottom of the chin.

The most accessible way to change the balance of your face is by modifying your nose. The distance between the eyes is set. Although it can be changed through radical surgery, it is a risky procedure. To even consider changing the distance between your eyes would entail craniofacial/neurosurgical procedures. Not an attractive option. The mouth can also be changed to some degree through oral maxillofacial procedures involving cutting through your facial bones and setting them in a new position. This often requires wiring the jaw shut for weeks at a time. Plastic surgery and reshaping of the chin are also feasible. However, with the chin being at the bottom of the face, any changes here have significantly less impact compared to the rhinoplasty procedure.

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Rhinoplasty & Beauty Theory Explained

Dr. Young dives deep into his approach for the rhinoplasty procedure and how it correlates to his theory on facial beauty. 

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Anatomy

FAQ

Open vs Closed

Terms

Procedure of Your New Nose

After your initial phone call, we will have a consultation with you to discuss the rhinoplasty procedure and how it can be tailored for you. Through the morphing process, we will ask you what you would like to see get done. Morphing allows us to change your picture and give you a glimpse of what your new nose can look like. The consultation is a great time to discuss your desires and preferences. We will then decide on when you would like to schedule your rhinoplasty surgery.

We will set up a preparation appointment two weeks prior to your actual surgery. This allows us to go through your morphed pictures and what you have decided to get done. We do a full assessment of your health in detail. During this two-week period, we may obtain a medical risk assessment from your primary care doctor and get extra tests done to make sure you're ready for your rhinoplasty.

On the day of your procedure, we will go through everything again to ensure your desires are being met. Our nurse and anesthesia team will prepare you for the surgery. We will give you all of our contact information in case you need to get a hold of us later. You will have an appointment six days after your surgery, when we will take out your sutures and splint. 

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Before & After Rhinoplasty

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Benefits of Rhinoplasty

Why hide behind your nose or feel self-conscious about your appearance when you can have these same positive changes as other people have seen through a procedure? Rhinoplasty can make small but significant changes and have a major impact on your looks. Research shows the benefits of beauty are obvious, from the way your parents treat you to making a difference as a world leader. Changing your nose can be one thing that can dramatically change your looks for the better. Dr. Young discovered an award-winning theory on beauty, understanding the impact of beauty in our lives. 

According to Dr. Young, our appreciation for beauty is connected to our desire for good things to happen in our lives. Rhinoplasty is the most complicated procedure for a facial plastic surgeon, and the reason Dr. Young spends a lot of time discussing the surgery with his patients. He wants the best results for you. There will be at least three meetings about your rhinoplasty procedure prior to surgery: the initial consultation, a pre-procedure appointment, and on the day of your procedure, when we will spend up to an hour going over all of the details. 

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Computer Morphing

Much of the time will be spent with our computer morphing program that morphs your pictures to get a sense of what you want. This is vitally important. In order to give you the best results, we need to understand all of your desires and preferences regarding the appearance of your ideal nose. Rhinoplasty is not a magical thing, but we will do everything we can to get you the results that will be as close to the morphed picture as possible. Computer morphing can be difficult, especially if your nose is significantly different from what you want in your ideal nose. Bringing in pictures of other people whose noses you like can help us make your surgery a success. We use a program called United Imaging, which morphs pictures of your nose to any form. These images help Dr. Young during the procedure. He actually brings the pictures into the procedure room and uses them to achieve the best results.

At Aesthetic Facial Plastic Surgery, we believe in quality, not quantity. We want the best results for you, and we will take the time to do your rhinoplasty procedure and achieve your goal. Instead of doing up to four rhinoplasties in one day, we concentrate on just one surgery on most days. Dr. Young has published multiple chapters in major textbooks and peer-reviewed scientific journal articles on facial plastic surgery. Here, he shares some of the many topics on rhinoplasty.

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Open vs Closed Approach

Why do people use the open approach versus a closed approach? The open approach allows Dr. Young to view the structures under the skin. This incredible view of the structures lets him know what effects are being done to the nasal anatomy.

In the closed approach, the incisions are located inside the nose, and the nostrils are hidden from view. The closed approach is favored by some people because the incision is made on the inside. However, the closed approach limits the view of the structures. At our Seattle Bellevue office, we prefer and mostly perform the open approach.

Popularity of Rhinoplasty

Approximately 30 percent of Dr. Young's surgeries are devoted to rhinoplasty. We specialize in the face and neck. We do almost as many revision procedures as first-time rhinoplasties. We also offer revision rhinoplasties and have plenty of experience with this hard procedure. Rhinoplasty is one of the most performed cosmetic procedures for people of all ages because the nose is the most prominent feature on a person’s face. Disproportion in the size and shape of the nose can distract from an otherwise attractive face. Your desires and facial structure are important criteria in deciding how your new nose should look.

Dr. Young has performed over 5,000 cosmetic and reconstructive procedures, including nose reshaping to provide balance and symmetry to his patients. He has trained with some of the most prominent plastic surgeons in the country. With his internationally acclaimed understanding of facial aesthetics, Dr. Young has a very unique perspective on how nose reshaping can enhance your natural beauty and bring your nose into an ideal relationship with the rest of your face.

Examples of an Asian Rhinoplasty

We had an Asian female client from Washington come in for an Asian rhinoplasty. She was in her 20’s and wanted her nose to be smaller and more refined. She said her tip was big and wanted it smaller and prettier.

The Asian woman also felt that her nostrils were too wide as well. Dr. Young agreed with her assessment. He felt her nose could benefit from more ultimate symmetry. While examining her nose, he found that her upper bridge and the middle part of her nose needed to have some widening to match a smaller tip.

The goal: to slightly widen the upper part of the bridge and the middle part of her nose to match the future smaller tip. During the procedure, Dr. Young strove to have the same width from the area between her eyes down to the tip of her nose. The width we wanted to achieve needed to be equal to the width of the colored part of her eye.

This is based on our findings on facial beauty and Dr. Young's theory on beauty. The results were successful in creating more symmetry in her nose. In the after images, from the bridge of her nose through the middle part of her nose and down to the tip has maintained the same width, and the aesthetics of her nose has markedly increased.

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“My goal was to find a method to bring back a person’s natural youthfulness without the operated, unnatural look, and that is why I have my patients bring in photos of themselves when they were ages 5 to 30. My YoungVitalizer helps restore natural and youthful contours they haven’t seen in years.”

— Dr. Philip Young, Seattle Facial Plastic Surgeon

Recovery from Your Rhinoplasty

During your recovery period, you are going to feel groggy and sedated. There may be some bleeding from your nose. We will show you how to take care of your mustache dressing, including changing it as needed, depending on how much you bleed.

We will also suggest you start to use the Afrin spray as soon as you get home. It will help slow down the bleeding and keep your nose more open. We highly suggest using the spray for a maximum of five days. If you continue to use the spray, you can get a condition called Rhinitis Medicamentosa, in which your nose gets stuffy all the time. We also suggest that you irrigate your nose soon after your surgery. You can use the Neil Med kit or other nasal irrigation kits that you can buy at the drugstore.

You can make your own nasal irrigation with one quart of distilled water, 1-3 teaspoons of salt (the less preservatives the better, try pickling salt), and 1 teaspoon of baking soda. You can use the blue bulbs from the drugstore to irrigate your nose.

You will feel discomfort in the first few days. Dr. Young can prescribe pain medication for the discomfort. You may consider taking the medication regularly in small doses at first, as it takes up to five pills to feel relief. Please follow the directions on the bottle given to you and do not take more than what is prescribed to you.

We usually want you to start taking 1/2-3 tablets of the pain medication every four hours. Percocet is what we usually prescribe to our patients. The pain medication will not be as effective for the first few hours until it kicks in. We want you to keep your pain level in the 3-4 out of 10 range (with 10 being the worst pain).

We also want you to start taking your antibiotics, usually every six hours. It is possible for the antibiotics and pain medication to give you nausea. We suggest that you take the nausea medications a half hour before each pain and antibiotic dose. Ondansetron is what we usually prescribe. Always read the instructions on your medication bottle. Try to sleep with your head elevated to keep the bleeding to a minimum, especially for the first 48 hours. You will likely heal better if you can do this for the first two weeks. Icing should be done for 15 minutes every hour for a couple of days. You should clean your incisions two to four times a day for the first week. It is very important to do this in the first few days.

We usually recommend constantly cleaning your incisions with 1/3 vinegar and 2/3 distilled water. For best results, clean it every hour for the first few days. The frequency is best for cleaning, not a forceful rubbing of the nostrils and incisions. The mixture of vinegar and water moistens the crust and allows for its cleaning and removal. The liquid breaks down the crusting more gently than forceful rubbing. We recommend cleaning the incision at the bottom of the nose and inside the nostrils about 1/2 inch inside the nostril. The spray will also help clean the nose. Crusting promotes bacterial growth and infection and causes the incision to break down. It is important to get rid of the crusting.

Your rhinoplasty recovery should take a week. We typically remove the outside splint and sutures on the sixth day. It is important to clean your nostrils, irrigate the inside of your nose, and frequently clean the incisions on the outside. Cleaning your nose is important to remove the crusting and prevent bacteria from accumulating. Through effective cleaning, you decrease your risk of infection and scarring. In a scientific study, researchers found that 20% of your deeper healing beneath the skin occurs after two weeks. Your most noticeable healing should be within the first week. You will continually heal for up to two years, but will see major improvement along the way. At six weeks, you should see about 60% healing. At six months, you should be 80% healed.

Breathing through your nose will be difficult for the first two weeks due to the natural swelling. It gets better by the end of the first week. We can discuss employing steroids to help you with the overall swelling.

REVISION RHINOPLASTY with DICED CARTILAGE FASCIA Graft to Replace Goretex Tip and Silicone Bridge

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Specific Post-Surgery Tips

Nasal Care

  • You can start rinsing your nose with cool saline rinses once the packing in your nose is removed (if you have packing). The mixture is a quart of distilled water with 2-3 teaspoons of salt and 1 teaspoon of baking soda.
  • You should go to the pharmacy and consider purchasing some gauze and tape so that you can change the mustache dressing as needed.
  • Afrin nasal spray can be used starting right after your procedure and should only be used for up to five days. This can help clear your nasal passages and prevent bleeding.
  • You can use a blue bulb that is found in the baby section of a drug store to help you with this nasal irrigation.
  • When you rinse the nose, you should feel the salt water go all the way into your nose and come out the other nostril. This helps to cleanse your nasal passages and can be done two or three times a day.
    Cool compresses (ice pack or bag of frozen peas) are essential for the first seven days (or longer if needed), 15-20 minutes each hour. Popsicles and cool foods/liquids can also keep things cool in the nasal area.

Cleaning Your Incisions

  • You should clean your incision two to four times a day for the first two weeks with a 1/3 vinegar and 3/4 distilled water mixture. This helps to avoid scabbing/crusting around the wound.
  • You should keep Vaseline on the incision at all times for the first ten to 14 days or until further notice. This will allow your incision to heal faster.
  • After two weeks, you can consider Kelocote or other products containing silicone gel (ingredients like Polydimethylsiloxane, siloxane) on the healed incisions. Apply the silicone gel for 12 hours a day and 12 hours a day off for the next three to six months. The silicone gel only applies if you have an external incision. For the other 12 hours that the silicone gel is off, you should apply SPF 45 or greater sunscreen on your incisions (during the day).

Food and Liquids

  • You should avoid hot (temperature) and spicy liquids and foods for the first two weeks. Drink plenty of fluids to make sure that your urine is not too dark. It should be a light yellow to clear in color. Eating absorbs your medication and prevents nausea with your pain medication. However, do not eat too much soon after surgery. It can cause nausea.

Medications

  • We recommend that you start taking your nausea and pain medications as soon as possible. Start with the nausea medication after surgery, followed by the pain medication (1/2 tablet to one tablet) half an hour later. You should only take a maximum of 12 tablets of Percocet (5/325) over 24 hours. The pain and nausea medications take an hour or so to take effect. Make sure to follow the directions on the bottle.
  • Do not use high-dose vitamin E, herbal medications or supplements, aspirin, Aleve, Ibuprofen, or other anti-inflammatories for two weeks before and after your surgery. These medications and agents can cause bleeding.
  • Always remember not to take too much pain medication. It can slow your breathing, which can be dangerous. Also, you can only have 4 grams of Tylenol in 24 hours. Any amount over the dosage can lead to irreversible liver damage. And never combine regular Tylenol with your pain medication.
  • You should start your antibiotics and Clonidine (if you have this medication) as soon as possible after your surgery. The antibiotics and Clonidine need to be taken regularly and finished completely. The nausea and pain medications are taken on an “as needed” basis.

Stitches

  • Some of your stitches will need to be removed a week or so following your surgery. The rest can be removed a month later.
  • Stitches can break due to our usage of very delicate stitches (for better results). If this happens, schedule an appointment as soon as possible for us to re-stitch the area.

Bleeding

  • You will have some mild bleeding from your incisions. This is normal when the local anesthesia wears off. The first 24 hours are the most common time period for severe bleeding. There may be some bleeding when the clots dissolve after a few days. You should be careful during the crucial first two weeks.

Swelling

  • Cool compresses (ice pack or bag of frozen peas) are essential for the first seven days (or longer if needed), 15-20 minutes each hour. No warm compresses or massages are recommended unless directed by the surgeon.
  • A 15-20 minute walk twice a day can resolve residual bruising and swelling. Start three days after your surgery if you can.
  • If you notice redness spreading, skin hot to the touch, white/yellow discharge from the incisions, or increased pain in one particular area, please set up an appointment to be seen. It could be an infection easily treatable if caught early.
  • We usually see you the next day after your procedure to determine if you have swelling that needs to be looked after.
  • Your swelling may increase over the next few days, and it can last over a week. It depends on the type of surgery.
  • Avoid sleeping on the sides of your face, which can lead to asymmetry and a distorted look. Give yourself some time for the swelling to go down. All lumps and bumps eventually resolve.
    Sleeping at a 30-45 degree angle on your back can help reduce the swelling for the first week.

Sun Avoidance

  • Sun avoidance is crucial to avoid having your wound turn dark from hyperpigmentation.
  • You must stay out of the sun or minimize your exposure for the next six months. If you are out in the sun, you must wear sunscreen SPF 45 and reapply every 30 minutes to an hour. You should try to avoid putting on sunscreen for the first two weeks.

Make Up

  • Makeup can usually be worn after seven days, depending on how your incisions heal. No makeup should be applied over raw areas.
  • Do not use age-defying makeup around your incisions or on your eyes, as it contains retinol and may cause an allergic reaction for up to one month after your procedure.

Follow Up

  • We typically have most of our patients come back the day after surgery.
  • Another appointment is set up a week later to remove your sutures.

Activity

  • For two weeks after your surgery, avoid the following: no strenuous activity, straining, bending over, lifting greater than five pounds, drinking alcohol or hot oral fluids, eating spicy foods, strenuous exercise, very hot showers and hot baths, aspirin, anti-inflammatories, high-dose vitamin E, herbal medications, and smoking. A light walk for 15-20 minutes once or twice a day is acceptable after the first three days. You can increase your activity slowly after two weeks.
  • Light walks also sometimes help with resolving residual bruising and swelling.
  • You can bathe/shower after the first 72 hours, just as long as you don’t use very warm water. The water should be lukewarm, just warm enough not to cause discomfort from being too cold.
  • If you are straining to go to the bathroom, we usually suggest drinking a lot of fluids to help your bowel movements (to the point where your urine is clear), Metamucil daily, or Colace 100mg orally twice a day. You can also use over-the-counter suppositories or enemas as needed.
  • Your healing, swelling, and recovery will be 60% at six weeks and 80% at six months. We generally advise starting regular activity slowly two weeks after your procedure.

If you have any questions or concerns, please call our office at 877-808-9244 or set up an appointment immediately.

Client Testimonials

Read More Testimonials

Amazing doctor

Amazing doctor and the result are amazing too.

—S.M.

Dr. Young is very personable

Dr. Young is very personable and was very detailed in his work, with much concern about his patients.

—L.C.

Very happy

Very happy with how my otoplasty turned out. Thanks Dr Young

—J.P.

More than pleased with the fantastic results!

I have had two procedures done by the amazing Dr. Young and am more than pleased with the fantastic results!

—C.V.

Amazingly impeccable after care

Amazingly impeccable after care from all of the staff, including of course Dr. Young who ensures the patient has access to him at all times.

—S.S.

I would recommend him to my family and friends.

My experience with Dr. Philip Young and his entire staff has been really positive! I would recommend him to my family and friends.

—J.Y.

It looks completely natural

Wonderful experience. The doctor did a little Botox around my eyes and it raised my droopy eyebrows - it looks completely natural.

—R.H.

I made the right choice.

I had a great experience. I had some deep scars from acne but now after a scar surgery, my over all skin texture is more smooth. I made the right choice.

—F.S.

A brilliant and amazing doctor.

I would like to share my experience. Dr.Philip removed a mole for me that was disfiguring my face. He removed it with a laser. It was a very wonderful experience. As I mentioned be...

—Allaa Kamill

Dr. Young is not only a superb surgeon, he is a kind, empathetic person

Dr. Young is not only a superb surgeon, he is a kind, empathetic person who values his employees, his patients and the community. He runs a very busy practice, with a long waiting ...

—Angela R.

My experience with Dr. Young and his staff was excellent.

My experience with Dr. Young and his staff was excellent. I had a blephaloplasty (eyelid lift) and from the 1st consult all the way through the follow-up care, the entire experienc...

—Tara Kenneway

The staff was super nice and accommodating!

The staff was super nice and accommodating! They were very informative. Dr Young was also very informative. You can tell he cares for all his patients! He always answers any questi...

—Haystacks Grassy

Dr. Young and his team are spectacular!

Dr. Young and his team are spectacular! They helped me with a scar revision with the utmost sensitivity and care. The follow up is amazing, they truly take time to make sure you ar...

—Amira Beidas

He went above and beyond!

Dr. Young is an outstanding plastic surgeon who is very passionate about his work. He made me feel very comfortable with the surgery I came in for. He went above and beyond!
I w...

—chuck meyer

I trust him and his work and will keep coming back!

I’ve been a patient of Dr. Young for over 10 years and have had several procedures with him, including Asian blepharoplasty, Perma lip implants, Asian rhinoplasty, and neck liposuc...

—Taylor D

Dr Phillip Young and his office are fantastic!

Dr Phillip Young and his office are fantastic! They are thorough, patient, and kind. Particularly, I appreciate Dr Young’s attentiveness and expertise - I previously went to Seoul ...

—Carolyn Chong

Truly grateful to Dr Philip Young

Truly grateful to Dr Philip Young for taking such excellent care of me before, during and after my face, neck and brow lift. I have felt well informed and well cared for through...

—Jennifer Kent

Kindest Doctor I’ve ever met!

I can’t say enough about Doctor Young! He is an amazing person and Doctor! I drive four hours there and four hours back just to see him! He is a perfectionist and loves to help peo...

—Stacia Wright

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Frequently Asked Questions

How long is the recovery from rhinoplasty?

The most challenging time of recovery is the first week. During this time, you will have a nasal cast splint on your nose. This splint helps protect your nose and control the swelling.

You may notice the cast gets looser after five days, which usually means swelling is decreasing. Bruising is often minimal due to precise techniques, though this varies by patient. Breathing may be difficult for the first few days due to internal swelling, and mild swelling can persist for several weeks. Final results develop gradually over six months to a year.

Some bleeding in the first couple of days is normal. Icing, nasal sprays, and gentle cleaning can help manage symptoms and support healing. If heavy bleeding or persistent headaches occur, you should contact your doctor.

How much does rhinoplasty cost?

Costs vary depending on the extent of the procedure. Nostril adjustments typically range from $2500 to $5000, while nasal tip work ranges from $4000 to $6000. A full rhinoplasty generally ranges from $6000 to $12000.

Revision rhinoplasty is more complex and typically exceeds $12000, depending on the corrections needed.

What implants do you use to increase the bridge of the nose?

Options include synthetic implants such as silicone, Gore-Tex, and Medpor. Silicone is the most commonly used. Medpor allows tissue ingrowth, while Gore-Tex and silicone do not integrate in the same way.

Natural options include cartilage from the septum, ear, or rib. Ear cartilage combined with fascia can be used for moderate augmentation, while rib cartilage may be used for more significant structural needs.

Will I have a lot of scars after rhinoplasty?

Most incisions are placed inside the nostrils and are not visible. The only external incision is typically located at the base of the nose between the nostrils.

With proper technique and aftercare, visible scarring is minimal. Early cleaning and proper healing practices can further reduce scar formation.

How do you narrow the nasal bridge?

Narrowing the nasal bridge may involve removing small wedges of bone and repositioning the nasal bones.

In some cases, adjustments near the cheekbone area are needed to bring the nasal bones inward. The exact approach depends on the structure and width of different parts of the bridge.

When can I resume normal activity after a rhinoplasty?

Healing progresses gradually. About two weeks after surgery, you regain around 20% of your strength, 60% after six weeks, and up to 80 to 90% after six months.

Light activity can begin after two weeks at reduced intensity. Avoid strenuous activity, smoking, alcohol, and blood thinners during the early recovery period unless directed otherwise.

Will rhinoplasty make a big difference for my face and beauty as a whole?

Rhinoplasty can significantly impact facial balance and harmony. The position and shape of the nasal tip play a major role in overall facial proportions.

Enhancing the nose can improve symmetry and create a more balanced, aesthetically pleasing appearance while maintaining your natural features.

Why should I choose Dr. Young over another rhinoplasty surgeon?

Dr. Young has advanced training in rhinoplasty and has studied under well-known leaders in facial plastic surgery. He has also completed fellowship training focused on facial and reconstructive procedures.

He developed the Circles of Prominence theory, which guides his approach to facial balance and aesthetics, and continues to refine his techniques to achieve optimal results.

What other elements should help me consider Dr. Young as my rhinoplasty surgeon?

Dr. Young emphasizes individualized care and thorough consultations, including imaging to preview potential outcomes and detailed preparation for surgery.

He dedicates significant time to each procedure, often scheduling only one surgery per day to ensure focus and precision. His approach prioritizes careful technique, continuous refinement, and achieving the best possible results.

When can I exercise after rhinoplasty?

Exercise can typically resume gradually after two weeks. Start at about 20% of your normal effort and increase over time.

By six weeks, you can reach around 60% intensity, and by six months, up to 80%. This gradual approach applies to all physical activities, including weightlifting, running, and yoga.

What are some helpful hints for recovery after rhinoplasty?

Good overall health supports faster recovery. Avoid smoking, alcohol, and blood thinners before and after surgery as directed.

Icing regularly, keeping incisions clean, and sleeping with your head elevated can reduce swelling and promote proper healing.

What are the things I will need after my surgery?

  • Distilled Water
  • White Vinegar
  • Q-tips
  • Gauze
  • Tape
  • Nasal Saline Rinses
  • Afrin Nasal Spray
  • Blue Bulb for Nasal Rinses
  • Silicone Scar Healing Gel
  • Ice packs

Related Procedures

Asian Ethnic Rhinoplasty Ethnic Rhinoplasty Non-Surgical Rhinoplasty Laser Resurfacing Scar Revision Rhinophyma Rhinoplasty Revision Teen Rhinoplasty

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