How big of a problem is keloid scarring with rhinoplasty surgery?

Although the risk of developing keloids on the nose is rare, anyone with a history of keloids should be advised against any elective surgery, especially on the middle of the face. I am very conservative in my practice and would advise the patient to take the safest road to prevent devastating complications.

Keloid formation is generally not a problem with rhinoplasty surgery. For some reason, incisions which are made in or close to the midline of the face don't seem to have a keloid problem. As always, discuss your concerns with your physician to ensure that all of your questions are answered.

Keloid scarring is not a problem with rhinoplasty surgery since all of the incisions are placed internally or inside the nose.    Patients with thick, olive, oily skin can develop edema just above the tip with some scar contracture underneath the tip.  These complications can be averted... more

I have not seen a rhinoplasty-related keloid in my 27 years of practice. With African American rhinoplasty, usually an external approach is used which involves a small inverted V incision under the columella (tip). The remainder of incisions are inside of the nose and have no danger of keloid formation. It... more

Your concerns are valid and it is important to discuss your history of poor scarring whenever you undergo any type of surgery. You should note however that different parts of the body will heal differently. The simple answer is that keloids rarely develop in the central face and we here at Profiles have never... more