Tranexamic Acid in Rhinoplasty: Perioperative Bleeding, Edema and Ecchymosis

Inclusion Criteria:

* Adults at least 18 years of age who elect to undergo cosmetic or functional open primary rhinoplasty with osteotomies (repositioning the nasal bones) by Drs. Yang or Patel at VUMC.
* No other facial plastics procedure nor sinus surgery performed simultaneously
* Lack all the below Exclusion Criteria

Exclusion Criteria:

* Known allergy to TXA (tranexamic acid)
* Intracranial bleeding
* Known defective color vision
* History of venous or arterial thromboembolism
* Active thromboembolic disease
* Severe renal impairment (diagnosis of chronic kidney disease)
* History of coagulation disorder
* Known thrombocytopenia (platelets \<150,000)
* Current use of anticoagulant (blood thinner)
* Uncontrolled DM (diabetes mellitus) preventing use of dexamethasone in the perioperative period
* Cardiac arrhythmia
* History of AMI (acute myocardial infarction), stroke, seizure, liver failure
* Laboratory results showing platelets \<150,000, PT (prothrombin time) \>45, INR (international normalized ratio) \>1.2, seizure disorder