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D.J. Verret, MD answers: Why does the skin thicken after rhinoplasty surgery?

I have had 3 rhinoplastys due to a couple of errors, and now the middle part (the skin) of my nose has thickened. It doesn't look natural because my tip is thin and the above part of my nose is thick.

My last operation I had the skin thinned, but it didn't really help. Why has this happened? And what are my options? Is cortisone therapy an option? Thank you for reading this. Please help!


D.J. Verret, MD
14 months ago

Greetings,

There are several reasons for the apparent thickening of your nose. One is that scar tissue has built up under the skin. In this case, steroid injections may be beneficial to decrease the amount of thickening. Another possible cause is tissue that was placed in your nose as part of the previous rhinoplasty procedures. In some cases, either a person's own cartilage or bone and in others artificial substances are placed under the skin to provide cosmetic changes in the nose. These will not likely be helped by cortisone. Another option is swelling. In some cases, it can take up to a year for all swelling to leave the nose after a rhinoplasty. This too would be helped by steroid injections. I would suggest visiting with the last plastic surgeon to have operated on your nose and talk with them about what they did, what they found, and what they think will help your problem. Good luck.

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