Recovering from Sinus Endoscopic Surgery: Tips and Advice

Have you been dealing with recurring sinus infections, only to feel worn down by constant congestion, facial pressure or headaches that interfere with everyday life? In Singapore, chronic sinusitis is relatively common, often linked to the warm, humid climate and ongoing exposure to allergens such as dust mites, haze and air pollution. When medications and other conservative treatments no longer bring lasting relief, sinus endoscopic surgery may be recommended.

Although the procedure can help ease symptoms and improve sinus drainage, recovery does not end when the surgery is over. Healing takes time and is supported by proper aftercare, patience and regular follow-up with your doctor. In this article, we walk you through what to expect during recovery and share practical tips to support healing. Keep reading to learn more.

Tips and Advice for Sinus Surgery Recovery

Recovery after endoscopic sinus surgery takes time, and it is normal for your nose to feel swollen or congested during the first few days. With the right care, most people heal steadily and comfortably. The following tips can help support your recovery and reduce the risk of complications.

• Follow Post-Operative Instructions

  Your ENT surgeon will give you clear guidance on when to start nasal rinses, how to use prescribed medication and when to return for follow-up visits. Follow these instructions closely and avoid changing medication doses or schedules on your own. Do not try to remove nasal packing or splints, as this will be done safely by your specialist during a review appointment.

• Eat Nutritious Foods

  A balanced diet plays an important role in healing after sinus endoscopic surgery. Nutrient-rich foods that contain protein, vitamin C, zinc and iron help repair tissue and support your immune system during recovery. In the first few days, soft foods such as porridge, soups and steamed vegetables are also easier to manage, especially if chewing causes discomfort. Take prescribed antibiotics or pain relief exactly as directed, preferably with food to reduce stomach irritation.

• Keep Yourself Hydrated

  Staying well hydrated helps thin mucus and keeps the nasal passages moist, which supports natural drainage. Aim for at least eight glasses of fluids a day unless your doctor advises otherwise. Warm drinks such as clear soups or herbal teas may also help soothe irritation.

  Try to limit caffeinated and alcoholic drinks, as these can contribute to dehydration and slow recovery. If plain water feels unappealing, adding slices of lemon, cucumber or fresh herbs can make it easier to drink regularly.

• Use a Humidifier

  Using a humidifier helps keep the air moist, which prevents your nasal passages from drying out as they heal. This added moisture can make breathing more comfortable and reduce crusting during recovery. Be sure to clean your humidifier daily to avoid the buildup of mould or bacteria that may irritate your sinuses. If you don’t have a humidifier, warm showers or gentle steam inhalation can provide similar benefits.

• Avoid Blowing Your Nose Too Hard

  It may be tempting to blow your nose when it feels congested, but doing so forcefully can disrupt healing and lead to bleeding. Instead, gently wipe away mucus or blood with a tissue and use saline sprays or rinses to help clear congestion safely. If you need to sneeze, try to keep your mouth open to reduce pressure on the nasal passages.

• Elevate Your Head while Sleeping

  Keeping your head elevated can help reduce swelling and improve drainage during the early stages of recovery. Try using extra pillows or sleeping in a slightly upright position for the first week or two. Avoid lying flat on your back, as this may increase congestion and slow healing. Many patients find a reclined position or a wedge pillow especially comfortable during this time.

• Rest and Avoid Strenuous Activities

  For a smooth recovery, avoid strenuous activities such as heavy lifting, bending forward or intense exercise for at least two weeks, or as specifically advised by your doctor. These actions can dangerously raise blood pressure within your nasal tissues, significantly increasing the risk of bleeding.

  However, light activities, such as short, comfortable walks, are encouraged to improve circulation and support healing. If your job requires physical labour, consult with your ENT specialist about the safest timeline for your return to work.

How Long Does Typical Recovery Take After Endoscopic Sinus Surgery?

Recovery varies from person to person, but most patients start feeling noticeably better within one to two weeks. Complete healing can take up to six weeks.

During the initial days, congestion, nasal drainage and mild bleeding are common and gradually improve as swelling decreases. Most patients can return to work within one to two weeks, although it is best to check with your doctor before resuming all activities. You can also expect your breathing and sense of smell to gradually improve as the healing process continues.

When to Call Your ENT Specialist

While some minor discomfort is normal, certain symptoms may indicate a serious infection or other complication requiring urgent medical attention. Do not attempt to self-treat these issues with over-the-counter remedies without first consulting your doctor.

Contact your ENT specialist immediately if you experience:

• Persistent or heavy nosebleeds that do not stop after gentle pressure
• Increasing swelling or pain around your eyes or cheeks
• Vision changes, such as double vision or loss of sight
• Severe headache or neck stiffness
• Fever higher than 38°C
• Foul-smelling nasal discharge
• Continuous, clear watery fluid from your nose

Take Control of Your Recovery

Recovery after sinus endoscopic surgery is a gradual process. With proper support, many patients experience clearer breathing, improved sleep, and fewer sinus infections or episodes of sinusitis as healing progresses.

If you would like a professional review or reassurance during recovery, get in touch to consult our ENT specialist, A/Prof Luke Tan. Our team will guide you through each stage of healing and help you regain confidence in your sinus health.

Call us at 6474 6116 or email appointment@luketan-ent.com.sg to book your appointment today.