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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