Nose Massage After Rhinoplasty by Dr. Naderi

Rhinoplasty Specialist, Dr. Shervin Naderi discusses and demonstrates a few techniques for nasal massage in order to keep the nose aligned and improve symmetry after a rhinoplasty. These techniques do work in many instances where a good structural rhinoplasty has been done and can be an adjunct to the surgery, but will not work if the proper surgery has not been performed.
The nose is a hollow, weak, 3D structure and there are no metal plates or screws in place. No welding is done. It is not a solid strong structure. A cast or splint after surgery is only worn for about a week. An occasional and diligent proper massage and manipulation post surgery with the consent of your surgeon can help the healing process by fighting scar tissue contracture and cartilage, or even skin memory.

[@jhuntley575]

Hey doc I had ryno 13 days ago. Surgeon did a good job he's like you and only does noses. Completely different philosophy on home care like taping and stuff. Probably because he doesn't trust his patients to no mess things up. If I lived closer to DC I would have gone to you. Watched all your vids. You are a cool guy and amazing skills. My left nasal bone at the osteotomy sight is trying to float out a bit. This trick has been a life saver for me as I push it back in and it stays for a long time. 3 or 4 times a day is keeping it smooth like the right side. I'm also taping like you showed. Helps a ton thanks

[@BestPlasticSurgeons]

Thank you :)

[@aakashchauhan2208]

So should we massage or not???

[@ExquisiteKinkyCoils]

Thank you.

[@zoyamomin1297]

Thank you

[@Chitoschannel]

When would be a good time to start this after open rhinoplasty? How many days after surgery?

[@atepuy8891]

Thanks Doc, when can I start doing this massage? I am on my 8th day post surgery.

[@h_khl_1183]

How long per day i have to do this

[@syedamona3940]

Can you use it years after

[@Talabutaw]

Hello Doctor, 19 days post op. My septal cartilage leaning on right side. Can do that massage?

[@bennyg3716]

hello doc, can I ask something about my nose, which I did after 6 months of surgery, but the nose has curved from the left and the nostril has become a little wider, I'm afraid that it won't stay like that, I had this nose even before I had the operation, but why is it done as before, thinking that the operation will fix it, can you tell me, please, I fell into depression pls help thank you doc

[@manthankumarchaudhari1359]

How to fibrofatty tissue relax after Nusalbone Reduction surgery ? And can i start nose exercise Afert 30 Day surgery (4 week) ?

[@scelementarylibrary]

I was massaging my tip to the right because it started to slant to the left, and at about the same time I felt a lot of pressure on the bridge of my nose. I had done the massaging for two days when this happened. It’s like I literally felt the bones shift and now I have a slight dent on my bridge. Do you think pushing the tip over caused this? I am 5 weeks post op. Would so appreciate a response.

[@BestPlasticSurgeons]

We have no idea without seeing you. Please talk to your own doctor and the massages should always be gentle yet firm. Not forceful or aggressive.

[@alexolmstead6033]

This is a super helpful video! I’m 1 month post op and my doctor told me to do both techniques but didn’t give a lot of instructions. I feel like pressing the bones has made the swelling around the osteotomy bone breaks (bone calluses I’ve heard them called) worse. Is that expected?

[@BestPlasticSurgeons]

Proper pressure and massage should not cause swelling or callus. Please see your doctor and make sure you are doing the massages properly

[@mariamr.12]

Does callus goes away by massaging?

[@IncognitoWay]

Hello sir. Can you please tell me if the correction method that you suggested can help the tip of the nose after 10 months post-op? How many times a day and how many minutes the person has to keep the position for correction? For how many mounths should this be done? I'm waiting for your answer, please.

[@BestPlasticSurgeons]

hi. At 10 months massage and taping is not as effective. Its best used in the early post-op period

[@IncognitoWay]

@@BestPlasticSurgeons thank you. Can you please tell me when the massage and tapping can be start post-op?

[@BestPlasticSurgeons]

@@IncognitoWay it varies for each patient so you need to check with your own surgeon. Most patients do not need it. Some do. Some need to start immediately. Some can start a few weeks later. It is less effective months later.

[@Lena_champy]

Hey there ! Do you think massaging is helpful when it’s the second rhino and I have a sort of a hollow in the middle of my nose a bit on the right ? The surgeon said that it’s because the skin is fragilised as it’s the second surgery and recommended massaging the skin but without any instruction. Thanks for your advice :)

[@BestPlasticSurgeons]

Massaging is good for bumps and bulges not hollows.

[@Lena_champy]

@@BestPlasticSurgeons thank you for your answer doctor. So how can we deal with hollows to help them?

[@BestPlasticSurgeons]

@@Lena_champy Hollows or depressions will need either cartilage grafts or fillers. Filler is the easiest.

[@Lena_champy]

@@BestPlasticSurgeons thank you again for your answer. The surgeon told me the hollows will disappear and I actually saw that with my sister even if it was not the same area. Could you explain why hollows can happen? thank you again for the education :)

[@leroloralarlora]

do these help with preventing dorsal humps post-surgery? It's my tenth day after the operation and my nose is still bandaged to reduce edemas, sweelings.

[@BestPlasticSurgeons]

dont need to massage for prevention. but if a bump forms during healing this may help

[@godbylo1156]

Hi Dr I am 5 months after Rhinoplasty and I have a bony callus where the bone and cartilage meet what can I do to remove it without another surgery

[@BestPlasticSurgeons]

Hi. That may require surgery or needle shaving if it is significant enough.

[@wge621]

Hey Doctor, thank you for this. It would be great to see a patient doing this with a cartilage implant as your nose squishes down a lot more than ours can! Also, what's the soonest someone can do this safely? As soon as the cast is off?

[@BestPlasticSurgeons]

please check with your own doctor. We tell some of our patients to start immediately and some we tell to wait 2-4 weeks. It just depends.

[@brianpariz5287]

Hello, I just had rhinoplasty 2 weeks ago and one nostril looks more open than the other, is there a technique to improve this asymmetry while it recovers? make a thicker wing or lower it a little Thanks!

[@BestPlasticSurgeons]

Hi. Please check with your own surgeon but we like the "anti snoring nose vents" found on amazon to help with nostril healing and symmetry in situations like yours.

[@tyd8077]

What about if you have a cartilage graft? Is there a risk of pushing too hard and moving it?

[@BestPlasticSurgeons]

Yes there is always a risk of messing things up if you do not perform the massage properly. That is why you should always first check with your own doctor and have him/her show you the proper method on your nose.

[@jamieteo7561]

Will the massage/pressing shift cartilage grafts?

[@BestPlasticSurgeons]

It can and that is usually the whole purpose - to shift bone or cartilage into a better place if it has misaligned. That is why not everyone needs to do the massage and you should only do it with the approval of your own surgeon.

[@Alma-ld1lc]

What if there are a lot of grafts inside the nose? Could the tissue manipulation impact the grafts?

[@BestPlasticSurgeons]

Yes if you do things incorrectly you can cause problems.

[@stmav01]

Hi doc, I have an issue where I'm about 8 weeks out of surgery and i feel like my tip is slanted to one side. 1) Will doing the push-to-one-side-and-hold exercise twice a day be useful at 8 weeks post-op? 2) Is doing it only twice a day useful? Can you do it more? 3) Assuming the nose doesn't align itself, what would my options be? A revision? Is there anything else that one can do?

[@BestPlasticSurgeons]

Hi. You can do the massages more often. More often is better. As long as you do it properly and not create new issues and new asymmetries from improper massage technique. Check with your doctor. If the surgery was done well then the massages can help and should help. But if the surgical technique did not correct the crookedness or created new crookedness then the massages will have limited benefits

[@r9nin]

How is it now??

[@ladyesha]

How’s it now pls

[@Sarah-rw7ky]

Hi, I had a rhinoplasty 7 years ago and It left me with a scar tissue. Is it still posible to get steroïd-injection to solve the problem?

[@BestPlasticSurgeons]

not after 7 years

[@Sarah-rw7ky]

@@BestPlasticSurgeons Thank you for your replyi But are there any other solutions for scar tissue?

[@smartanajones4u]

Hey Doc you never stated how long you’re supposed to do the massage ie 30sec, 1min ???

[@BestPlasticSurgeons]

30-60 seconds 3 times a day

[@smartanajones4u]

Thank you Doc! And thank you for making this very informative video

[@maxmcunofficial8399]

When is the best time to start the nose massages? What day of post op?

[@BestPlasticSurgeons]

Depends on the nose. It works more effectively the earlier but that also means if not done properly, you can mess the nose up more too.

[@yasmine-vy3op]

hello how many times should I do the massage a day and for how many weeks should I keep doing it? Thank you. (Im 2 weeks after rhinoplasty)

[@BestPlasticSurgeons]

Do these only if your surgeon recommends it and shows you how to do it. For those who do benefit from this we recommend 2-3 times a day for 30-60 seconds at a time

[@jadebentham4374]

Does this work for scar tissue 2years after rhinoplasty?

[@BestPlasticSurgeons]

not for scar tissue but it can for misaligned bone fragments

[@jadebentham4374]

@@BestPlasticSurgeons is there anything that can be done for scar tissue? My surgeon didn't want to do revision but I have been left with a bump on my nose 😔

[@BestPlasticSurgeons]

@@jadebentham4374 every nose is different. At 2 years the bump is likely excess bone or cartilage that needs to be filed down and not scar tissue.

[@jadebentham4374]

@@BestPlasticSurgeons would you be able to tell by looking at it if it was scar tissue or cartilage? Would love a 2nd opinion

[@BestPlasticSurgeons]

@Robin Lee Massaging is for improving symmetry not for reducing swelling or a bulbous tip. We have taping videos for that.

[@CraftieBeans]

Hello doctor how are you ? I had rhinoplasty 6 months ago and my nose is crooked to one side my doctor told me to massage for 3 months will this help it to straighten my nose ?

[@r9nin]

يعني الميلان واضح؟؟

[@CraftieBeans]

@@r9nin بدون زحمة الميلان ما واضح اهواي قليل امبين بس شنو الحل

[@r9nin]

@@CraftieBeans باعي اني هم مثلج هسه وكلش ضايجه منه وسألت اكثر من طبيب كال بالمساج وفتره ٦ اشهر يلا يروح هلشي ومو بس اني اكو كومه مثل هلحاله

[@CraftieBeans]

@@r9nin اوك اذا اتنامى صحفح المشكلة ان يصير. الميلان

[@r9nin]

@@CraftieBeans انتي صارلج شكد من سويتي العمليه ويمتى بده عندج الميلان و بنسبه للنوم اني نمت وره عاشر يوم من العمليه صفح وكال الدكتور عادي

[@maryamj8180]

Hi doctor, this is the third week after my rhinoplasty , i feel a bump on one side of my nose and it feels like a bone , is that normal i’m so worried,, thanks

[@BestPlasticSurgeons]

hi. you are very fresh post-op and you need to show it and check with your own surgeon. things will change a lot in the next year but discuss this with your own surgeon please

[@maryamj8180]

@@BestPlasticSurgeons bcz my surgeon is overseas , I messaged him and asked him but I wanted a second opinion to make sure that’s everything is really normal , the bump on my nasal bridge though, do you recommend me to see specialist where i live or to wait couple of months? Thankss

[@BestPlasticSurgeons]

@@maryamj8180 yes definitely see someone close to you soon if you want reassurance and recommendations but most often you will find no doctor wants to intervene in the fresh work of another doctor. This is a risk you take by getting surgery overseas.

[@dxia8627]

Can i do it after 11 months? Because it’s still different from both sides 1:58

[@BestPlasticSurgeons]

Less effective at 11 months but still possible. See and talk to your surgeon

[@Dreamteam-gj8kg]

2 week post, the tip of my nose is hard I can’t bend it

[@BestPlasticSurgeons]

1) you should not bend your nose 2 week or even 2 months after surgery 2) That is normal 3) Any time you have a concern you should contact your own surgeon to make sure there is nothing else abnormal such as a hematoma, etc

[@bee.bnt11]

Why tf would you wanna bend ur plastic nose 💀

[@fedjem9989]

Do not touch it!!!! Just be patiënt. I had a middical nose surgery. And the massage left a blue place on my nose. Sooooooo dont do it!!! It ruiend my nos. Just because is saw this video!!!!!