Need Advise on Bluish Nasal Tip After Repeated Rhinoplasties, Options?

asked 6 months ago by Jessica44
Latest answer by Thomas A Lamperti, MD
Question viewed 119 times
Tags: nose tip, blue, options

The tip of my nose often has a bluish color to it, and this becomes much worse when I get cold. Presently there is a graft in my tip. I have also already had four rhinoplasties. Is there anything I can do to remedy this problem? I want to get my tip graft removed (I never agreed to a tip graft). Would another surgery to remove the tip graft potentially make my tip even more blue in color? Would you advise to get the tip graft removed, or do you think another surgery could make my problem worse?

5 answers to Need Advise on Bluish Nasal Tip After Repeated Rhinoplasties, Options?

Need Advise on Bluish Nasal Tip After Repeated Rhinoplasties, Options?

The bluish discoloration, of the nasal tip skin, is an indication of decreased (compromised) blood supply to that tissue. This occurs from Rhinoplasty, more with Open Rhinoplasty than Closed IMO and is an absolute contraindication for any further nasal surgery IMHO. You will need to proceed with extreme caution with any further nasl manipulation, including removal of the tip graft should that become necessary. The risk is a complete loss of the nasal skin, over the... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Bluish nasal tip after four prior rhinoplasties

The bluish skin discoloration is most likely due to changes in the blood supply to your nasal tip skin from your many prior surgeries. I doubt that the tip graft itself is causing the problem and certainly removing it wouldn't be expected to improve the problem -- only make it worse potentially.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Revision rhinoplasty will not be appropriate for you.

Dear Jessica; What you have is a skin problem. Often when the skin has been operated on four times, as in your case, there is a change in the blood supply. It sounds like you have had Nature deliver somewhat of an excess of veins, and therefore blood is pooling in the tip of your nose. That would give it the blue color. I doubt if removing the tip graft is the answer. My suggestion is that you see a cosmetic dermatologist. See if the dermatologist... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Bluish Nasal Tip

After multiple rhinoplasties, the bluish color to your nasal tip may indicate compromised circulation. If this is the problem skin loss could occur, with or without another procedure. Remember the rumors about Michael Jackson's nose. Be careful if your considering the removal of a tip graft.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Bluish tip to skin

This may be a sign of poor vascularity which puts you at extremely high risk for skin necrosis with further procedures. Be careful. Don't take going for more surgeries casually.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

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Need Advise on Bluish Nasal Tip After Repeated Rhinoplasties, Options?