The over whelming majority of patients who have a rhinoplasty experience only mild levels of pain or discomfort. The over-riding feeling is of pressure in the middle of the face and nose. This is due to swelling which is normal after surgery and subsides significantly during the first 1 week after surgery.
In terms of pain and discomfort management, simple measures such as sleeping with a few pillows so that you are upright help reduce swelling. Applying a cold compress/ice to the cheek is helpful. Sucking of ice-cubes is equally very good at reducing the pressure sensation.
Paracetamol and ibuprofen are good, effective pain killers which can be used. This is particularly so before going to bed, so that sleeping is as comfortable as possible.
Some patients may want to explore hilotherapy. This is a temperature controlled system, which unlike applying ice, isn’t time limited. Published evidence has shown less bruising and swelling compared to conventional ice packs.
