The two-week milestone after rhinoplasty marks a significant transition past the most intense initial healing phase. This time is often marked by the removal of the external splint or cast, offering the first clear look at the nose’s new contour. While initial trauma has subsided, the nose and surrounding tissues still require careful management and protection. Understanding what is typical at this stage helps set realistic expectations for appearance and activity levels.
Immediate Physical Changes
At the two-week mark, the most dramatic changes are visible immediately after the external cast or splint is removed. Bruising, which was extensive around the eyes and cheeks during the first week, will have largely faded, often resolving to a faint yellow discoloration or disappearing completely. The nose will appear noticeably more defined than it did immediately post-surgery, but it remains significantly swollen.
Swelling is a natural inflammatory response to the surgical manipulation of the bone and soft tissues. Although a large portion of the swelling subsides in the first two weeks, the nose will not yet display its final result. Swelling tends to linger longest in the nasal tip due to its thicker skin, often making the tip appear rounder or less refined than the bridge. This residual puffiness is usually only noticeable to the patient, allowing most people to feel comfortable returning to non-socially demanding work or activities.
Post-Removal Care and Comfort Management
Once the external support is removed, the focus shifts to active nasal care and managing internal healing. Primary instructions involve diligent cleaning to manage internal crusting and congestion, which is common due to internal swelling and residual blood. Surgeons often recommend using a saline nasal spray frequently throughout the day to keep the nasal passages moist and help clear debris.
Some patients may be prescribed gentle cleaning of the inner nostrils with a cotton swab and a specific ointment or solution to prevent crust buildup near the incisions. Gentle nasal massage or taping might also be introduced to help reduce persistent swelling, particularly at the tip, by applying controlled pressure. Mild discomfort or pressure is normal and can be managed with over-the-counter pain medication like acetaminophen. Patients must avoid non-steroidal anti-inflammatory drugs (NSAIDs) unless cleared by the surgeon, as they can increase the risk of bleeding.
Activity Levels and Lifting Restrictions
The two-week point allows a transition from near-total rest to light, non-strenuous movement. Returning to non-physical work or school is generally safe, but any activity that significantly raises blood pressure or heart rate must still be avoided. Light walking is encouraged to aid circulation and lymphatic drainage, which helps resolve swelling. Heavy lifting or vigorous cardiovascular exercise remains restricted.
Patients should avoid lifting anything over five to ten pounds to prevent straining and increased blood flow to the face, which could cause bleeding or increased swelling. Strenuous activities like jogging, weightlifting, or exercises involving bouncing or head inversion are prohibited until the four- to six-week mark. If glasses are worn, they cannot rest directly on the bridge of the nose, as the pressure can affect nasal bone healing; alternatives like contacts or a support device are necessary. Protecting the nose from direct sun exposure is also important, as UV rays can cause discoloration in healing skin and prolong swelling.
Identifying Normal Versus Concerning Symptoms
At two weeks, the body is still actively healing, and several minor sensations are typical. Expected symptoms include slight numbness in the nasal tip and the area between the upper lip and the nose. Persistent but mild nasal congestion due to internal swelling and minor asymmetry in the nose’s appearance, caused by uneven swelling, are also common. These minor symptoms gradually improve as the months pass.
However, certain symptoms require immediate contact with the surgical team for evaluation. Concerning signs include a sudden, significant increase in pain not relieved by medication or the onset of a fever. Signs of a localized infection, such as spreading redness, warmth, or pus, are also urgent. Uncontrollable bleeding—bleeding that does not stop after ten minutes of light pressure—is another urgent symptom.