Post Op Nasal / Sinus Surgery - overview, instructions, what we typically recommend to do and not to do
Note: these instructions do not apply for nose jobs (rhinoplasty)
these are our general recommendations - these may not apply in all cases, and other surgeons may have different recommendations.
Check with your surgeon regarding their specific instructions
Pain may be managed with Tylenol and/or Motrin
These can be taken together every 6 hours
or can be taken alternating every 3 hours
Narcotics may be prescribed for more severe pain
If so, follow the instructions
Many narcotics contain Tylenol - if so, don't take them with over-the-counter Tylenol at the same time
Afrin (oxymetazoline) over-the-counter nasal spray can be used to slow, or potentially even stop, bleeding
Neil Med Sinus Rinse should be used starting the day after surgery
use it at least 3-4 times per day...and there is no upper limit
Rinses should be high volume, and low pressure
Avoid strenuous activity post op. Anything that gets your blood pressure up can increase the risk of bleeding (exercising, sex, etc)
But don't just lounge around. Light activity like waking prevents blood clots in your legs.
Most people only miss a few days of work unless it requires strenuous activity.
Don't fly for about 7-10 days after surgery. The altitude and pressure changes can be uncomfortable and dangerous.
Don't swim or get water in your nose - the only liquid going into the nose should be the Sinus Rinses.
Don't take Sudafed or other oral decongestant as they can increase the blood pressure and risk of bleeding. Elevating the head and using ice over the face/nose and in the mouth can help decrease swelling and congestion.
Don't aggressively blow your nose. Light blows and snorting /sniffing is ok.
A little bleeding afterwards is normal. A "moustache dressing" can be used.
If the bleeding is brisk, using Afrin and pinching your nose for 10 minutes may stop the bleeding. Ice can also help decrease bleeding.
If you experience any facial/eye swelling or bruising, and especially if there are any vision changes, call your doctor immediately.
Medical Disclaimer: All comments are generalizations and intended to be for educational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.