Rhinoplasty: Q&A
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Rhinoplasty Scar Tissue
Is there any way to correct nose job related scar tissue?
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18 Doctor Answers |
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anon
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Rhinoplasty scars
Unsightly external scarring from rhinoplasty is a rare complication. Most rhinoplasty incisions are internal and the external incisions typically heal well.
If scarring is visible, it can often be improved by procedures such as laser resurfacing or dermabrasion. Scar tissue under the skin of the nose may be improved with steroid injections, but this is most effective in the first 6-12 months after surgery.
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Steroids and Rhinoplasty Scar Tissue
During the recovery phase of rhinoplasty some patients may develop unwanted scar tissue under the skin. This unwanted scar tissue can cause excess fullness that contributes to an irregular contour whether it be along the bridge or around the tip. In some cases, taping the skin down on a regular basis can minimize the impact of the scar tissue. In other cases, a steroid may be needed to soften or dissolve the scar tissue.
Kenalog is the most common steroid I happen to use for...
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Treatment for rhinoplasty scar tissue
Significant scar tissue after rhinoplasty is (fortunately) somewhat rare, and can be in one of two areas:
1) Along incisions made on the skin of the external or (!) internal nose. The latter may cause nasal obstruction.
2) Underneath the skin that is elevated to perform the rhinoplasty. In this case, exuberant scar tissue formation can cause an unsightly shape to the nose (one example is the so-called 'pollybeak').
Either (1) or (2) can be treated. ...
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Nose scar tissue
Fortunately, undesirable external scarring after rhinoplasty is rare if the external incision is closed meticulously. However, if some unsightly scarring does occur, most can be treated with laser resurfacing or microdermabrasion. Scarring under the nasal skin can occur even in the best hands as a consequence of the body's healing process. Often, simple massage can smooth these down. If unsuccessful, Kenalog injections can be used with good success.
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Correcting Scar Tissue After Rhinoplasty
The best means for correcting scar tissue after rhinoplasty depends on where the scar tissue is and how long it has been there.
There are several types of post-rhinoplasty scars/scar tissue.
1) External - if the surgery was done open or if alar base (nostril excisions) were performed, an unsightly scar can be dermabraded or resurfaced with a laser. Or even re-excised.
2) Internal - internal scar bands can block the airway and should be excised.
3) Subcutaneous- compressive taping during the...
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Treatment for Scar Tissue after Rhinoplasty
Thank you for the question. Scar tissue can form wherever incisions are made or tissue planes separated. Depending on the approach and specific maneuvers performed during your rhinoplasty, scar tissue may form in different places. If the scar tissue is internal, this is treatable in most patients using a combination of steroid injections (kenalog in different strengths) and massage. Over time, as the residual swelling resolves, improvements in contour will be seen. For scars that...
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Rhinoplasty Scar Tissue
Scarring from rhinoplasty usually heals really well, but it is extremely important that you give it time. Pressure exercises may also help!
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Scar Tissue in Secondary Rhinoplasty
There is no optimal way to remove a scar. Secondary rhinoplasty is a complex procedure to reshape the underlying framework and close dead space. How an individual scar heals is based 90% on the genetics of the patient. Secondary rhinoplasty surgery is a challenge in managing the post operative result.
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Rhinoplsty scar
The most common way surgeons deal with scar tissue after rhinplasty is probably by the injection of triamcinolone (Brand Name Kenalog). This steroid is quite effective in the early healing phases for preventing scar tissue and later on for diminishing scar tissue. If by scar tissue you mean the open rhinoplasty scar is less than ideal, it may need to be adjusted in the office under local anesthesia.
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Scar tissue after Rhinoplasty
Scar tissue can form internally or externally after rhinoplasty, although rare. If its just scar tissue not involving cartilage or bone you may be treated with a steroid injection. If its involves both you may need to have surgery. Seeing the patient "in the flesh" helps to evaluate what is needed.
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Rhinoplasty scar tissue treatment
Since I feel strongly that no one should be doing open rhinoplasties, the scars that result are really unnecessary. Avoid such surgery at all costs. Scars made in the crease at the wings of the nose after reduction in width of the nostruils (an alarplasty) are almost never visible. Scar tissue that builds up in the nasal tip (under the skin) after surgery can often be helped with steroid injections or with revision surgery.
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Post rhinoplasy scar tissue can be treated with steroid injections
I think your question is relating to scar tissue under the skin rather then visible scar. If this is the case then scar tissue can be reduced with steroid injections. Your surgeon should guide you as to the need for steroid injections after rhinoplasty.
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Rhinoplasty scars can be improved
Visible rhinoplasty scars are rare after meticulous rhinoplasty but can occur in a small percentage of patients. After waiting for a year these incisions can usually be improved with laser resurfacing. They can also be improved by revising the scars by removing them and re-suturing, but this is only required in a very severe case.
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Scars after rhinoplasty
Scarring is what ALL Plastic Surgeons have to fight day in and day out. It occurs both internally and with your incisions. However, scarring from rhinoplasty and other facial procedures tend to heal extremely well, almost better than anywhere else on the body. For example, I have NEVER seen or heard of keloid scarring from rhinoplasty. While the incisions made for your nose job heal well almost all of the time, the internal scarring can be more unpredictable.
Depending on technique used...
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Dealing with excessive scar tissue after rhinoplasty.
Usually waiting is all that is needed for scar to resolve after rhinoplasty. Occasionally, steriod injections can be used to facilitate the process but this should be done with due deliberation. Rarely, an operation to excise scar tissue is required but this is very uncommon in my experience.
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Correcting rhinoplasty scarring
If the scars are along the bottom of the nose from narrowing procedures of the nostrils they may be corrected with a surgical revision to try to better hide the scars or laser abrasion types of procedures. If you have an external rhinoplasty scar that has not healed well similar techniques can be used. If the scarring is more internal and is distorting your tip, then steroid shots might be helpful or surgical debulking of the scar. I hope this information helps.
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What can be done for rhinoplasty scars?
There are two forms of scar tissue that can be encountered after rhinoplasty. One is at the site of skin incisions, the other is more broad based scar tissue that can cause swelling in the nasal tip, or the area immediately above the nasal tip.
If the scar is in the incision lines, then the best treatment is scar revision, by removing the old scar and suturing the incisions closed in a meticulous manner. If the scar is in the nasal tip region, then injections of small amount of Kenalog...
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Nose Job Scar Tissue
Treatment of nasal scar tissue depends on the duraion, extent, and location. Lazers, steroid injections, and/or surgical intervenation may be necessary. Discuss alternatives with your surgeon or get a second opinion
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