Are you getting ready to remove your cast after rhinoplasty? You’ll want to know what to expect before and after it’s off, with our guide on Cast Removal Rhinoplasty.
All rhinoplasty patients will face the removal of their cast as part of their surgery. This is when your surgeon can see how well the nasal cartilage and septum has healed. You can expect there to be some swelling in the cheek and eye area after the cast is removed. In this guide, we review the aspects of Cast Removal Rhinoplasty, no cast after rhinoplasty, how to reduce swelling after rhinoplasty cast removal, and tape after cast removal rhinoplasty.

A rhinoplasty bandage cast is put on following surgery to stabilize the nose and protect it from trauma.
Following rhinoplasty, you will have a nose cast. This is a thin bandage that goes around your face, from the hairline to under your chin. It helps protect the nose during healing and keeps it in place as it heals properly.
A cast removal rhinoplasty is a procedure that removes the bandage cast from your nose. The bandage cast may be removed as early as one week after surgery, but it’s typically left in place for two to three weeks if you’re healing well.
If you’re having trouble breathing or feel pain in your nostrils, let your doctor know right away so they can help relieve these symptoms by removing the cast earlier than planned. If left on too long, this type of cast could cause damage to nearby nerves and blood vessels or even create scar tissue inside the nose (known as granulation), which could make breathing more difficult later on down the road when they’re finally removed!
But in general, the external cast can be removed within 7 days after surgery.
A cast can be removed at any time after surgery. The doctor will be able to tell you when they are ready to remove the cast and if it is safe for you to do so sooner than 7 days. If your nose needs rebandaging, then this will also be discussed with your surgeon before they give their final approval on removing the external cast.
no cast after rhinoplasty
There are many types of rhinoplasty procedures, and some require a nose cast, or nasal splint, after the procedure to protect, compress, and position the nose. Nose casts can be created with a series of nasal tape applications and adhesive foam applied outside the nose during the initial healing process. The type of cast and suggested timeframe to wear the nose cast after surgery depend on your personalized treatment recovery plans.
Why Dr. Miller Uses a Cast After Rhinoplasty
Dr. Miller strives to provide patients with a positive rhinoplasty experience. To ensure optimal healing, he uses nasal casts to aid in post-operative recovery. A nose cast after rhinoplasty is a protective tool that ensures an effective recovery. The cast can be used to:
There are many factors that can be addressed during a rhinoplasty procedure that can produce different side effects and recovery time. For example, restructuring bones may require additional healing and a different type of nose cast than a rhinoplasty that focuses on a bulbous tip or nostril reshaping. Dr. Miller takes time with each patient to review appropriate aftercare instructions and recovery expectations.
How is the cast applied?
After the rhinoplasty procedure, the nose cast is applied outside the nose to provide support and help reduce side effects such as swelling. Depending on your surgical procedure, the cast may vary. Surgical-grade tape is cut to length and secured with adhesive foam. Several layers of this process create a stiff cast-like covering to protect the nose and keep it in place. Gentle pressure is applied to the nose cast to ensure it forms in the correct shape and provides compression. The splint is durable and should not move or become loose before the appropriate time to remove it.
When is it safe to remove the cast after rhinoplasty?
A typical surgical rhinoplasty procedure requires a nose cast for six to seven days. Patients with a liquid rhinoplasty do not require a nose cast, and patients who received a micro rhinoplasty procedure only require a nasal splint for three days.

The nose cast is meant to allow the nose to set into its new shape and begin healing without harm or injury. The post-operative protective tool significantly impacts the long-term results and recovery after surgery.
Philip J. Miller, MD, FACS, is a world-renowned facial plastic surgeon with more than two decades of experience. He specializes in cosmetic facial procedures and is a leading expert in rhinoplasty and facial rejuvenation. Dr. Miller strives to create natural results with the NatraLook® process. This enriching experience helps patients explore their aesthetic beauty goals in a safe and supportive environment. NatraLook allows patients to partner with Dr. Miller and design a unified vision for natural and unmatched surgical results.
As part of his expertise and distinguished research and training, Dr. Miller uses nose casts to set patients up for success after a surgical rhinoplasty. From pre-operative consultations to post-operative care and questions, he provides patients with unsurpassed care.
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Facial Plastic Surgery
Dr. Philip Miller and his team of New York’s top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:
Eyelid Plastic Surgery
Dr. Miller provides patients with Manhattan’s #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:
Rhinoplasty (Nose Jobs)
Dr. Miller and his staff of NYC’s best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:
Skin Care Treatments
Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.
Aesthetic Confidence®
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how to reduce swelling after rhinoplasty cast removal
After rhinoplasty, there are many things you can do to reduce your swelling, but it is important to have realistic expectations. In general, swelling after rhinoplasty is normal and can take months to fully heal. Although you should be prepared for some puffiness at the beginning of your recovery, follow these tips to speed up the healing process.
Listen to Your Nose Surgeon NYC
Everyone’s recovery is different so make sure you listen to the specific guidelines given by your surgeon. Be sure to handle bandages exactly as instructed and avoid touching them otherwise. Keep in contact with your surgeon after your operation and consider a visit for personalized advice. Significant swelling above the tip of the nose can be resolved with an injection from your surgeon. Keep this option in mind if you experience prolonged swelling.
Protect Yourself
Also, avoid swimming and opt for baths instead of showers to avoid excess steam. Protect your skin from sun exposure and use high SPF sunscreen. When sleeping, ensure that your head is elevated where your nose is above your heart. You can simply use 2-3 pillows. This will promote blood flow. Finally, avoid applying pressure including wearing glasses and use button up/zip-up clothing to avoid having to pull clothing over your nose
Taping
Taping the bridge of the nose and the area above the tip can significantly reduce postoperative swelling. Gentle pressure from tape can help drain some of the fluid trapped in the tissues and better organize the scarred tissue. This helps to diminish puffiness. You can also try applying cold compresses in addition to taping to reduce bruising. This method is most effective in the first several months after surgery. If you’re worried about swelling, talk to your surgeon about taping as soon as possible.
Healthy Living
Possibly the most important way to reduce inflammation is to avoid smoking, excess drinking, and overexertion. Moderate exercise like walking can help blood flow and circulate oxygen to help lessen swelling, but avoid any strenuous activity as you heal. Keep your body hydrated by drinking lots of water the week before your surgery, and continue hydration post-operation. Water promotes healing and also diminishes the swollen appearance.
Supplements
It is important to discuss supplements with your surgeon. Some herbal products can interfere with surgical processes or increase swelling and bleeding in the post-operation stage. Be sure to stop taking any over-the-counter anti-inflammatory drugs including ibuprofen and aspirin two weeks before your surgery and in the post-operative period as these can cause excess bleeding, therefore, increasing puffiness. On the other hand, Bromelain is a nutrient found in pineapples that have been used in traditional medicine for healing soft tissue wounds. You can ask your doctor about this supplement or even try eating more fresh pineapple to speed-up healing.

tape after cast removal rhinoplasty
Nose taping is a common practice among rhinoplasty patients. It is a bandage or tape used during rhinoplasty recovery to support the nose, decrease swelling, and improve the nose’s appearance. Philip Miller, MD, FACS, often recommends nose taping to enhance a patient’s healing process after nose surgery, provided it’s done correctly.
What are the benefits of nose taping after rhinoplasty?
Nose taping after rhinoplasty is beneficial for many reasons. The primary benefit is that it helps to decrease swelling fluctuations after the procedure. It also helps improve:
Some patients choose to tape their noses daily or multiple times per day to help them feel better. However, it is most commonly recommended at night when swelling is most likely to occur. It is not necessary to tape during the day unless specified by Dr. Miller.
What if I don’t tape my nose after rhinoplasty?
Not all patients have to tape their nose after rhinoplasty surgery; it should only be done following instructions from a skilled board-certified facial plastic surgeon. Dr. Miller works closely with each patient to determine the benefit and necessity of nose taping. There are cosmetic and health benefits associated with taping. If the nose taping process is not followed as directed, it could lead to:
How to Tape Your Nose after Rhinoplasty
There are multiple kinds of tape to use after rhinoplasty. Common choices are adhesives, like medical tape and bandages, and those that use pressure, like dental bandages. Speak to your surgeon about taping instructions best suited for your situation and healing expectations. Generally, patients should:
1. Tape the nasal bridge: Use 3-5 strips of tape about two inches long. Start at the tip of your nose and overlap upward to cover the entire bridge.
2. Wrap the tip: Use a longer piece of tape to wrap the end of the nose, creating a “U” shape while avoiding the nostrils.
3. Repeat the first step: Repeat the first step using strips to cover the bridge and ensure the “U” tape stays in place.
At first, nose taping may be necessary 24/7, depending on your specific circumstances. In this case, the tape should be removed every 2-3 days and new tape applied. After several days or weeks, nose taping may only be done at night to help with swelling and removed each morning.
Removing tape should be done with as much care as applying the tape to prevent any harsh movements or pressure. Tweezers can be used to gently peel the tape or remove it after a shower when it is damp and starting to lose adhesiveness, or apply baby oil on the tape and that will loosen it.
How long should I tape my nose after rhinoplasty?
Nose taping is often recommended for 1-3 months after a rhinoplasty procedure. Dr. Miller provides patients with clear instructions for recovery care and taping. Patients will also visit Dr. Miller for follow-up appointments to ensure proper healing and appearance.
Schedule Your Nose Job in NYC
Dr. Philip Miller, MD, FACS, is a world-class, double board-certified plastic surgeon and a leading expert in rhinoplasty procedures and facial rejuvenation. Dr. Miller has more than 20 years of experience in surgical and non-surgical facial procedures and an artistic eye for helping patients meet their cosmetic goals. After a rhinoplasty or revision rhinoplasty procedure, may instruct patients to tape their nose, but it is not always recommended.
Dr. Miller is an innovative expert that offers personalized care and treatment plans. His goal is to empower patients and support aesthetic confidence. Dr. Miller uses the NatraLook® Process to create a positive environment where patients can discuss obstacles and desires for a unified and natural rhinoplasty result.
Settle for Nothing But the Best Facial Plastic Surgery
Facial Plastic Surgery
Dr. Philip Miller and his team of New York’s top rated facial plastic surgery experts provide custom cosmetic treatment plans that include a combination of minimally-invasive techniques and advanced procedures, to help each patient achieve the Aesthetic Confidence® they desire. Our unique NatraFace™ approach to facial rejuvenation includes the following effective procedures:
Eyelid Plastic Surgery
Dr. Miller provides patients with Manhattan’s #1 customized care and treatment for smooth, supple skin that brightens the eyes and revitalizes the face. With our NatraFace™ approach, we utilize a combination of effective aesthetic techniques tailored to suit each patient’s needs. We offer:
Rhinoplasty (Nose Jobs)
Dr. Miller and his staff of NYC’s best aesthetic specialists offer the NatraNose® process, which is a comprehensive range of minimally-invasive and advanced techniques to achieve natural-looking rhinoplasty results, improve nasal function, and meet the patient’s aesthetic goals. Dr. Miller specializes in nose jobs, nose reductions, non-surgical nose jobs, and more: Adjust the links in these sections as follows:
Skin Care Treatments
Widely acclaimed for our broad range of flawless skincare solutions, Philip J. Miller, MD, FACS and his team of aesthetic specialists offer customized skincare treatment plans to achieve healthy, natural-looking results. As part of our NatraLook™ process, the following procedures may be performed individually or in combination with more advanced surgical treatments for optimal rejuvenation.