When a patient comes to his/her First consultation at Dr. Sordo's clinic, plastic surgeon in Madrid, with more than 15 years of experience as a specialist in Ultrasonic rhinoplasty in Madrid.
You are informed in detail about the Operation technique, results and postoperative periodIt is at this last point where the patient usually has more doubts, such as how to avoid nasal congestion.
Before we answer this question, we have to It should be noted that rhinoplasty must always be functional and aesthetic.
What are the symptoms of nasal congestion after rhinoplasty?
The normal and common symptoms the ones you don't have to worry about are:
- Difficulty breathing through the nose: Due to the inflammation and healing process, breathing through your nose may be difficult for the first few weeks.
- Feeling of a stuffy or blocked noseIt is common to feel as if your nasal passages are blocked, which can last for several days or weeks.
- Runny nose: It is possible to have a slight discharge of mucus or even traces of blood, which is part of the recovery process.
- Feeling of pressure or heaviness: Inflammation in the sinuses can cause a feeling of pressure or heaviness in the face.
- Temporary loss of sense of smell: This is due to internal swelling that blocks airflow and the ability to perceive odors, but it is temporary.
- Dryness in the nasal passages: The nose may feel dry due to nasal packing or the use of postoperative medications, which contributes to the feeling of congestion.
- Light bleeding: There may be small traces of blood mixed with mucus, which is normal during the first few days of recovery.
When does nasal congestion go away after rhinoplasty?
Most nasal congestion disappears completely after two to four weeks post-operative. It disappears progressively. However, in cases where there was a lot of manipulation of the internal nasal structures, such as a septum correction or turbinate reduction, it could take up to three months or more for the internal inflammation to completely subside and airflow to be restored to 100%.
Recommendations to avoid nasal congestion
Once the Rhinoplasty, it is common to experience nasal congestion due to inflammation of the internal tissues and the accumulation of postoperative secretions.

It may interest you: Rhinoplasty Before and After
Although it is an expected symptom, there are several maneuvers that can be done at home to relieve this discomfort once the nasal plugs are removed (they are usually removed in the hospital the day after surgery). Below, we offer a series of recommendations to minimize nasal congestion and speed up recovery:
1. Nasal washes with saline solution or sterile sea water
One of the most effective methods to keep the nasal passages clean and prevent mucus build-up is to wash the nose with sterile seawater solutions, such as “Rinomer Force 3”. This solution helps to clean secretions and traces of blood that may remain after surgery, as well as acting as a decongestant.
It is recommended to wash two or three times a day.This not only helps maintain nasal hygiene, but also relieves the feeling of congestion, keeping the nasal passages moist and promoting better healing. Sterile seawater does not irritate the nose and is completely safe to use during the recovery process.
2. Use of oral corticosteroids to reduce inflammation
During the first postoperative week, taking a mild oral corticosteroid can be an excellent option to reduce inflammation of the mucous membranes and relieve edema caused by congestion.
3. Adequate hydration
Staying well hydrated is crucial for optimal recovery. Drinking plenty of water throughout the day not only helps keep your body hydrated, but it also helps thin nasal secretions, making them easier to clear. Additionally, proper hydration keeps mucous membranes moist, which can reduce irritation and dryness in your nose.
4. Avoid dry environments and use a humidifier
Dry air can make nasal congestion worse, so it is advisable to use a humidifier in the room, especially during the first few weeks postoperatively. Using a humidifier keeps the environment moist, which can help reduce nasal dryness and make breathing easier.
This device can also relieve nasal passage irritation, prevent crusting, and help keep nasal passages clear and free of obstructions.
5. Avoid intense physical efforts
For the first few weeks after surgery, it is important to avoid any type of strenuous physical activity, as it can increase blood flow to the face and nose, which could aggravate swelling and prolong congestion. Activities such as heavy lifting or strenuous exercise should be avoided until approved by your surgeon.
Additionally, keeping your head elevated while sleeping, using an additional pillow, can help reduce swelling and improve nighttime breathing.
6. Do not blow your nose
Although it may be tempting, you should not blow your nose for the first few weeks after rhinoplasty. Blowing your nose can cause irritation, increase swelling, and in some cases, cause bleeding. Instead of blowing your nose, you can opt for saline nasal washes to safely remove secretions.
7. Follow the surgeon's postoperative instructions
It is essential to follow your surgeon's instructions exactly. This includes taking any prescribed medications, such as antibiotics, decongestants or anti-inflammatories, and attending all follow-up appointments. If at any time you experience worsening congestion or unusual symptoms such as severe pain, fever or foul-smelling discharge, it is essential to contact your surgeon immediately.
Conclusions
Therefore, to avoid nasal congestion that occurs after the removal of nasal plugs following rhinoplasty, you must:
- Perform nasal septum surgery systematically.
- Perform whenever turbinate surgery or turbinoplasty is required.
- use of systematic nasal washes with sterile sea water.
- Manage mild oral corticosteroids during the first week postoperatively.
For more information on the rhinoplasty technique used by the Dr. Sordo or details about the postoperative period for prevent nasal congestion, Contact us.



