Justicz N, et al. - Researchers conducted this prospective cohort study at a tertiary care center to describe the acetaminophen and narcotic use pattern of the postoperative rhinoplasty patient and to report a pain level and pain medication usage pattern of the typical post-rhinoplasty patient, as well as identify demographic considerations. For this analysis, patients with rhinoplasty were given standardized perioperative pain instructions and narcotic medication (18 tabs oxycodone) along with a survey of pain medication usage. In younger patients (30 years old or younger), female patients, and primary rhinoplasty patients, the pain was significantly higher. The pain was associated with women's use of acetaminophen and oxycodone, and men's use of acetaminophen. No association was found between autologous rib grafting and higher narcotic use. Describing a pattern of pain medication use for the typical post-rhinoplasty patient provides important awareness of post-operative pain expectations for both patients and physicians and has the potential to decrease both the amount of narcotics prescribed by providers and the amount of narcotics used by individuals.