Nose Surgery Gauze: Is It Really Necessary? Dr. Lee Kyung-mook’s <Q&A>

Nose surgery gauze: Is it really necessary?

Dr. Lee Kyung-mook’s <Q&A>

When people think about getting nose surgery these days,

they tend to look into the recovery process

just as much as the results.

Among the things people talk about most,

one of the hardest parts after nose surgery is said to be

the gauze placed inside the nose.

“I felt so suffocated trying to breathe.”

“The moment they removed the gauze was the worst.”

You may have seen reviews like this

at least once.

So naturally,

people ask questions like,

“Do you really have to put gauze in?”

“Are there places that do surgery without gauze?”

In fact, in most rhinoplasty procedures,

gauze is often placed inside the nose

to control bleeding.

Depending on the extent and method of surgery,

it can become an unavoidable choice.

But not every nose surgery

requires gauze.

The recovery process can differ

depending on how thoroughly bleeding is controlled during surgery.

At Objet Plastic Surgery,

based on Dr. Lee Kyung-mook’s surgical expertise,

the clinic applies a method that does not use gauze after rhinoplasty.

In this post,

we’ll calmly talk about what “gauze” in nose surgery

actually means,

when it is needed,

and when it is not.

We’ll go through the three questions

many people have about nose surgery gauze,

one by one.

Q1. What does it mean to “not use gauze”?

The phrase “We don’t use gauze”

may sound simple,

but in reality it is fairly complex.

That’s because the meaning changes completely

depending on why it is not used.

When you have nose surgery,

bleeding naturally occurs.

The nose is a highly vascular area.

There are two main ways to handle this bleeding.

The first is to stop the bleeding perfectly

during surgery.

The second is to pack the inside of the nose tightly with gauze

after surgery and stop the bleeding through pressure.

Most clinics choose the second method.

That’s because it shortens the surgery time,

and even if a small amount of bleeding remains,

the gauze can block it.

But think about it.

What if you went into surgery thinking,

“Since gauze will be placed anyway...”

Even if there is minor bleeding,

the surgery can be finished quickly

with the thought that “the gauze will take care of it.”

On the other hand,

if you go into surgery thinking,

“I’m not going to use gauze,”

everything changes completely.

From the surgeon’s perspective,

a sense of pressure arises that bleeding simply cannot happen in that situation.

Of course, this is a good kind of pressure for the patient.

Thanks to that pressure,

the surgeon pays much more attention to hemostasis during the operation.

They have no choice but to carefully find each bleeding point

and handle it perfectly.

In the end, not using gauze does not simply mean

not using gauze.

It is the surgeon’s philosophy and promise:

“I am confident that I can achieve perfect hemostasis,

so gauze is not necessary.”

That said,

there is one more point here that often confuses people.

They say gauze won’t be used,

but during consultation,

they hear that a “sheet” will be inserted.

Q2. Isn’t a sheet the same as gauze?

“You said no gauze, but now you’re saying a sheet will be inserted?

Then isn’t that basically the same thing?”

No.

A sheet and gauze are completely different.

Their purposes are different,

and the situations in which they are used are different too.

Nose surgery gauze is used for hemostasis,

and it tightly fills the inside of the nose.

It physically presses on the bleeding area

to stop the bleeding.

By contrast, a sheet is not mainly for hemostasis.

When surgery such as septal correction

has been performed to straighten the internal structure of the nose,

it plays a role in fixing

and maintaining the operated area.

Simply put, gauze is inserted

to stop bleeding,

while a sheet is inserted

to stabilize the surgical site.

The two serve completely different purposes.

Q3. Then can gauze be omitted in every case?

Unfortunately, gauze cannot be omitted

in every case.

It depends on the surgical method and extent.

To start with the simplest case,

there are procedures that use only ear cartilage

to naturally refine the tip of the nose.

These are mainly chosen by people who want

a natural change rather than a dramatic, lifted-looking nose.

In these cases, the inside of the nose

is hardly touched,

so there is very little bleeding.

Of course, gauze is not needed,

and neither is a stabilizing sheet.

Recovery takes place with only stitches remaining.

However, if the procedure includes osteotomy,

that is, surgery involving the nasal bones,

the story changes.

When the bone is shaved or brought together,

the risk of bleeding becomes greater.

Of course, bleeding can be perfectly controlled

during surgery.

But the problem is after you go home.

Bleeding can occur during daily activities.

So in this case, as a preventive measure,

a minimal amount of nose surgery gauze may be inserted.

Rather than for hemostasis,

it serves as a safety measure in case bleeding occurs.

In the end, the important thing is not whether gauze is inserted or not.

The key is whether it is used unnecessarily.

Is it being inserted out of habit

even when it is not really needed?

Or is it being used only minimally

when it is truly necessary?

Today, we calmly organized the points

many people are curious about regarding nose surgery gauze.

In fact, in most rhinoplasty procedures,

the common approach is to place gauze inside the nose

considering bleeding and recovery safety.

In that sense, choosing to use gauze is not wrong or excessive;

it is a method that has been used for a long time.

Even so, choosing not to use gauze

reflects the surgeon’s philosophy that

“I am confident I can achieve perfect hemostasis.”

Dr. Lee Kyung-mook at Objet Plastic Surgery

places greater importance on thorough hemostasis during the operation

than on the method of controlling bleeding with nasal gauze.

He uses the standard of carefully checking and finishing each tiny point of bleeding,

and when this process has been sufficiently carried out,

he determines that stable recovery is possible without unnecessary nasal gauze.

Under these standards,

depending on the type and extent of the surgery,

only the measures truly needed for the patient are selected and applied.

This has been Objet Plastic Surgery.

Thank you.

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• This post is medical information written by Objet Plastic Surgery Clinic in compliance with the Medical Advertisement Act.

• Treatment effects may vary from person to person, and side effects may occur. We recommend that you first have a thorough consultation with medical staff before deciding on any procedure.