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Why is my nose oily after rhinoplasty?

Published in Rhinoplasty Recovery Skincare 4 mins read

Your nose may become oily after rhinoplasty due to a combination of your body's natural reaction to surgical trauma and the temporary impact of wearing a nasal cast. This results in increased oil production and potential pore blockage.

Understanding Post-Rhinoplasty Oily Skin

Experiencing oiliness on and around your nose after a rhinoplasty procedure is a common and temporary side effect. This phenomenon is primarily driven by two key factors: your body's healing response and the effects of post-operative care.

Trauma Response and Increased Oil Production

Following rhinoplasty, your body undergoes a reaction to the trauma of the surgery. As part of this natural healing process, this reaction involves making glands secrete oil. Your skin's sebaceous glands, which are responsible for producing sebum (oil), can become more active in response to the inflammation and changes in the underlying tissue. This temporary increase in gland activity leads to a noticeable increase in oiliness on the skin, particularly around the surgical site.

The Impact of Nasal Casts and Pore Blockage

Another significant contributor to post-rhinoplasty oiliness is the use of a nasal cast or splint. You also need to keep in mind that you have had a cast over your nose for about a week, which can block your pores creating oil build-up. The cast, necessary for stabilizing your new nose shape, covers the skin for an extended period, typically around a week. This creates a warm, occlusive environment that can trap dead skin cells and sebum, preventing natural exfoliation and leading to blocked pores. The trapped oil and debris under the cast contribute to the greasy skin after rhinoplasty.

Managing Oily Skin After Rhinoplasty

While the oiliness is usually temporary, subsiding as your nose heals, there are practical steps you can take to manage it comfortably.

Practical Tips for Skincare

It's crucial to be gentle with your skin during the recovery period. Consult your surgeon for specific post-operative skincare instructions, but general tips for managing oily skin include:

  • Gentle Cleansing: Use a mild, non-comedogenic cleanser twice a day. Avoid harsh scrubbing or abrasive products that could irritate your healing skin.
  • Oil-Free Products: Opt for oil-free and non-comedogenic moisturizers, sunscreens, and makeup (once cleared by your surgeon). These are less likely to clog pores.
  • Avoid Picking or Squeezing: Resist the temptation to pick at any oiliness or small breakouts, as this can lead to infection or scarring, especially on healing skin.
  • Blotting Papers: Keep blotting papers handy to absorb excess oil throughout the day without disturbing your healing nose.
  • Hydration: Ensure you're well-hydrated by drinking plenty of water. This can help maintain skin balance.
  • Patience: Remember that this is a temporary phase. As swelling reduces and your body continues to heal, the oil production should gradually return to normal levels.

Common Causes & Management Strategies

Here’s a quick overview of the causes and general strategies for managing post-rhinoplasty oiliness:

Cause Impact on Skin General Management Strategy
Trauma Reaction Increased oil secretion Gentle, consistent cleansing with mild products.
Nasal Cast / Splint Occlusion Blocked pores, oil build-up Use non-comedogenic skincare products; gentle blotting.
Inflammation / Swelling Can stimulate oil glands Follow post-op instructions diligently to reduce swelling.

For more detailed guidance on post-operative care, always refer to your plastic surgeon's recommendations. Your surgeon is the best resource for personalized advice during your recovery journey.

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