It has been 1 month post op. I had septorhinoplasty and turninotes reduced. My right side was where the most work was done on (the dip). I now have scar tissue in both nostrils. Left nostril is pretty big an blocking nasal passage. Should I wait it out or get steroid injections? My DR said to do tapes and compression and wait a few months. The problem is I am now having trouble breathing. Also, I have a dip on right side. He said it is swelling. What can I do to resolve this?
Answer: Injection therapy can help break down scar tissue Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.
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CONTACT NOW Answer: Injection therapy can help break down scar tissue Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.
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CONTACT NOW December 3, 2018
Answer: Rhinoplasty swelling At one month you are still very early in the recovery process. Incisions inside the nose are not completely healed and there is still a significant amount of external swelling. The external swelling goes away unevenly and irregularly. I recommend allowing your surgeon to reassure you and to make a determination on whether steroid injections are indicated at this time. Best of luck. To be Andrew
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Answer: Rhinoplasty swelling At one month you are still very early in the recovery process. Incisions inside the nose are not completely healed and there is still a significant amount of external swelling. The external swelling goes away unevenly and irregularly. I recommend allowing your surgeon to reassure you and to make a determination on whether steroid injections are indicated at this time. Best of luck. To be Andrew
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December 3, 2018
Answer: Rhinoplasty Hello
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December 3, 2018
Answer: Internal scar tissue Thank you for your question. It is difficult to tell from the photos where the scar tissue is. It looks like you had an alar base reduction but I can not see scar tissue in that area causing obstruction. A good intranasal exam could help determine where the obstruction is and if there is scar tissue that could be responsive to injection with steroid. Depending on how the turbinates were reduced, it can take over a month for you to notice the difference and you can still feel obstructed in the early postoperative period. From the base photo, I can see what looks like the vestibular skin at the level of the internal nasal valve. If this is your concern, there are some procedures that can be done to open this area up but injected steroids would not help. I hope this helps!
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December 3, 2018
Answer: Internal scar tissue Thank you for your question. It is difficult to tell from the photos where the scar tissue is. It looks like you had an alar base reduction but I can not see scar tissue in that area causing obstruction. A good intranasal exam could help determine where the obstruction is and if there is scar tissue that could be responsive to injection with steroid. Depending on how the turbinates were reduced, it can take over a month for you to notice the difference and you can still feel obstructed in the early postoperative period. From the base photo, I can see what looks like the vestibular skin at the level of the internal nasal valve. If this is your concern, there are some procedures that can be done to open this area up but injected steroids would not help. I hope this helps!
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December 1, 2018
Answer: Internal Scar Tissue At one month post op, what you are experiencing is normal. It may be a little soon for a cortisone injection, but your surgeon will determine that at your exam.
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December 1, 2018
Answer: Internal Scar Tissue At one month post op, what you are experiencing is normal. It may be a little soon for a cortisone injection, but your surgeon will determine that at your exam.
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