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What Are the Potential Complications from over Thinning Nasal Skin?

I have an indentation in the skin on one side of my nose above the tip. Is this a result of my skin being thinned too much or can swelling cause this? I am 16 days post op.

Doctor Answers (6)

Post-op healing after thinning of nasal skin

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Since it has only been just three weeks after rhinoplasty, it is impossible to tell if your skin is too thick or too thin. It will be six months to a year before final determination can be made if the skin was over-thinned.  

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Thinning Nasal Skin

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16 days after your rhinoplasty, in the face of normal post-op swelling, it is impossible to critique your result. Nasal shape will evolve with time. If the skin is too thin, a revision can be done.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Early postoperative questions

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At only 16 days after a rhinoplasty, there is still a LOT of healing to be done.  Your indentation may be real, but it is likely just an area next to a normally swollen portion of your nose that makes the indented area look worse than it is.  Patience is VERY hard, but in rhinoplasty, it is a necessity.

Results from over-thinning the skin are usually seen in the late postoperative period- I would try not to worry about that, and be patient while the normal postoperative course continues.

Potential Complications of Surgically Thinning of Nasal Skin

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Thinning of the nasal tip should be done VERY carefully, if at all. Not only can it result in a permanent depression but it can injure the blood supply to the skin resulting in a full thickness wound / ulcer with potentially exposed cartilage.

In your case, I would watch this area carefully and follow closely with your surgeon. It may be a false alarm which would resolve but you need to be aware of what could happen.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 69 reviews

Thin skin after rhinoplasty,

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It is way too soon to make any judgement about your nose, It takes 6-12 months for the nose to be in the final shape. Be patient.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Difficult to say

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That early from surgery it is too early to tell if that is from swelling, overthinning, or asymmetry. I would consult your surgeon and follow the area closely. 

Samson Lee, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.