Most bruising fades within two weeks and the splint is usually removed after about a week. Swelling of the bridge reduces markedly in the first three months, while the tip can take 6–12 months or longer with thick skin. The final result is usually assessed at the end of the first year.
First 48 hours
Swelling and bruising peak in the first two days. A splint is on the nose, sometimes with internal splints or packing.
- Rest with your head elevated on two pillows.
- Use cold compresses around the eyes as advised.
- Do not blow your nose; sneeze with your mouth open.
- Take medication regularly and avoid sudden strain.
Week 1: splint and first check-up
Swelling and bruising start to decrease from day two or three. The splint is usually removed around day seven; in open rhinoplasty the columellar stitches come out at the same visit. The nose may look upturned and full at first — this is swelling.
Weeks 2–4: back to social life
Most bruising is gone within two weeks and remaining yellowish marks can be covered with make-up. Many desk workers return to work. Light walking is fine; glasses are used according to your surgeon’s advice.
Months 1–3: the bridge becomes defined
Swelling of the bridge decreases and the profile becomes clearer. Exercise resumes gradually with your surgeon’s approval; contact sports later. Morning swelling is normal.
Months 3–12: tip refinement
The tip heals last. Its swelling decreases slowly and definition improves, faster with thin skin and slower with thick skin.
One year and beyond
The final shape is usually assessed after a year, sometimes longer with thick skin or revision. Any correction is decided after healing is complete.
When to call immediately
Contact your team without waiting for the next appointment if you notice:
- Persistent or increasing bleeding
- Fever above 38 °C, increasing redness or discharge
- Increasing pain or swelling
- Breathlessness
- A knock to the nose
Frequently asked questions
When does swelling go down after rhinoplasty?
Marked swelling settles over weeks; the bridge over about three months; the tip over 6–12 months or longer.
How long does bruising last?
Most bruising fades within two weeks.
How long does the splint stay on?
Usually about one week.
When can I return to work?
Most desk workers return within one to two weeks.
When can I exercise?
Walking early; gradual exercise after a few weeks; contact sports later.
Why is my nose more swollen in the morning?
Fluid collects while lying down; morning swelling is normal in the first months.
Sources and further reading
General information resources; individual advice requires an examination.
American Society of Plastic Surgeons · Rhinoplasty ↗ASPS · Risks and safety ↗NHS · Rhinoplasty ↗This page is general information and does not replace an individual examination. Surgery has risks and outcomes cannot be guaranteed.