Your nose job may have several components, including correcting your deviated septum, removing the bump on your nose, refining your nasal tip, making your nose less wide with a nasal in-fracture, making your nasal tip profile less prominent, or making the nostrils of your nose flare out less. What kind of pain would you expect from all or some of these procedures?
The most pain you will feel is from any potential bony work, specifically if the bony part of your nose needs to be made more narrow. If your nose job requires your plastic surgeon to break your nose, and then make it more narrow, then this will hurt the most. Even though your nasal bones are very thin, breaking your nasal bones will probably cause bruising under your eyelid areas and around your cheeks, as well as significant pain right after your surgery.
Shaving down your nasal bump also causes some pain. Even though your bones are not broken, removing even a small portion of bone causes some pain. Just like a nasal fracture, shaving your nasal bone will also cause some bruising in the general area of your nose.
In general, doing surgery to nasal septum and cartilage hurts, but not an extreme amount. Your nasal cartilage is in areas of your nose that easily bend, such as the tip and nostril areas of your nose. Refining your tip, widening your tip, straightening or removing some of your septum, making the profile more or less prominent, and making your nostril areas wider or smaller may ache after surgery, but should not be a significant portion of your pain after your nose job.
Some discomfort after surgery is from your inability to breathe normally right after your nose job. Your nasal mucosa, the lining of the inside of your nose, will swell up after your nose job, even if no surgery was done internally. If you have nasal polyps, enlarged turbinates, or any other structures that need surgery inside of your nose, then you will have even more internal swelling. The bottom line is that any difficulty breathing right after your nose job will cause some discomfort as well.
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