Is Nasal Packing Really Necessary After Rhinoplasty?
- mrtimbiggs4
- Nov 18
- 2 min read
For many patients considering rhinoplasty, one of the most anxiety-inducing aspects is the idea of nasal packing, the thought of having the nose filled with gauze or sponges post-surgery can be off-putting. Fortunately, modern rhinoplasty techniques have evolved significantly, and in my practice, nasal packing is no longer necessary.
🛑 Why Nasal Packing Was Traditionally Used
Historically, nasal packing was used to:
Control bleeding after surgery
Support internal structures during early healing
Prevent septal hematomas
However, packing often caused significant discomfort, nasal obstruction, and anxiety, especially during removal. Although many surgeons still use packing methods.
✅ Why I DO NOT Use Nasal Packing
Thanks to advances in surgical technique and perioperative care, I’ve eliminated the need for nasal packing altogether. Instead, I use a combination of methods that reduce bleeding and swelling at the source:
Cocaine and adrenaline: These agents constrict blood vessels and reduce intraoperative bleeding.
Tranexamic acid (TXA): A powerful antifibrinolytic that helps minimise postoperative bruising and bleeding.
Piezo ultrasonic instruments: Allow for precise bone reshaping with minimal trauma to surrounding tissues.
Dorsal preservation techniques: Maintain natural nasal structures and reduce surgical disruption.
Pre-injection protocols: Targeted local anaesthetic and vasoconstrictors reduce bleeding before incisions are made.
Together, these techniques result in a cleaner surgical field, less postoperative swelling, and a more comfortable recovery, without the need for packing.
😌 What Patients Can Expect Instead
After surgery, patients may experience:
Mild congestion due to internal swelling
A small external splint (removed at day 7) and dissolvable sutures
No painful packing removal
Most patients are pleasantly surprised by how manageable the recovery is, especially compared to what they may have read or heard about traditional rhinoplasty.
📍 Serving Hampshire and Beyond
If you're considering rhinoplasty in Portsmouth, Winchester, Southampton, or anywhere in Hampshire, I offer advanced, patient-centred care with a focus on comfort, safety, and natural results.
To enquire or book an assessment:
📍 Adnova Clinic
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