Is Bleeding Common in Revision Rhinoplasty?

What is Revision Rhinoplasty and Is There a Risk of Bleeding?

Revision rhinoplasty is the second (or third) surgical procedure performed to correct shape or functional problems in patients who have previously undergone a nose surgery.

This surgery typically involves more scar tissue and vascular changes due to the previous surgery, so minimal bleeding is completely normal.

What is “Normal” Bleeding After Revision Rhinoplasty?

The following situations are considered normal after revision:

• Light reddish drainage for the first 24-48 hours
• Staining at the tip of the nasal tampon
• Slight increased drainage when bending the nose
• Short-term blood streaks after sneezing / coughing

These situations usually stop on their own and are part of the healing process.

What is “Concerning” Bleeding After Revision Rhinoplasty?

You should contact your doctor in the following cases:

• Active, bright red bleeding lasting more than 15-20 minutes
• Heavy bleeding spilling from the tampon
• Bad odor and fever with blood
• Sudden fullness and pressure feeling on one side
• Heavy clots mixed with blood

These signs may indicate hematoma or vascular irritation, which require further specialized evaluation.

Why is Bleeding More Common in Revision Surgery?

Revision rhinoplasty may be more complex than the initial surgery.

The reasons for this are:

• Reopening previously opened tissues
• Scarring changing the vascular structure
• Reshaping of the septum or nose tip supports
• The need for additional cartilage (from ribs/ears)

For this reason, light bleeding is expected and generally does not pose a risk.

Factors That Increase the Risk of Bleeding

• Blood thinners (if not stopped before surgery)
• Excessive exertion, heavy exercise
• High blood pressure
• Injury to the nose
• Manipulating the inside of the nose
• Hot showers or saunas
• Allergy attacks, severe sneezing

Recommended Care to Reduce Bleeding

• Keep your head elevated while lying down
• Avoid hot environments for the first week
• Do not make firm contact with the nose
• Use prescribed sprays regularly
• Avoid heavy exercise for 2 weeks
• Sneeze softly (with your mouth open)