The amount of pain is variable, but most patients state that it is minimal to moderate.
Pain at any intensity will usually last for only 36 to 72 hours, but may last longer if the nose is manipulated or bumped. Your nose may remain tender or sensitive to touch, however, for up to three months.
There are numerous ways to reduce pain:
Call your doctor if pain is not relieved by medications, if pain is getting worse (instead of gradually better), or if pain persists at a moderate to severe level for more than 48 hours after surgery.
Acetaminophen is acceptable, but check with your doctor about ibuprofen or other medications. Homeopathic preparations (e.g., Arnica montana) can have side effects that interfere with healing, so do not use them unless specifically approved by your doctor.
Surgeons frequently use local anesthetics during surgery to reduce pain in the recovery room. Some surgeons may administer intravenous steroids during surgery in an effort to reduce pain and swelling.
Ishii LE, Tollefson TT, Basura GJ, et al. Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty. Otolaryngol Head Neck Surg. 2017; 156(2_suppl):s1-s30.