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Subcutaneous Scarring After Rhinoplasty

Can SUBCUTANEOUS (no cutaneous scarring present) scar revision be performed in the dorsal and/or supratip region of the nose?

The reason for this question is that I've been told by my M.D. that subcutaneous scarring, after numerous (a total of 4) Rhinoplasties, is the probable cause behind the fluctuating swelling in my nose (even after 5 years).Thanks ever so much for your help! Nordic

Asked 36 months ago by Nordic in China
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+2

Scar tissue can be excised if skin is thick

Scar tissue under the skin can be excised if there is enough thickness of the overlying skin. However, you should see a revision Rhinoplasty specialist to determine if this is likely to solve your problem. This should be someone with a great deal of experience.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+2

Subcutaneous Scarring After Five Rhinoplasties

Hi Nordic, I am sorry that you have gone through so much with your nose. All bets are off after 5 nasal surgical procedures. You may need nasal reconstruction of the dorsal and supra-tip skin with a transposition graft. If you can live with the swelling, then I would recommend leaving well enough alone. If not you should find an expert in nasal reconstruction. One of the best in the world is Gary Burget, MD in Chicago, Ill. Much good luck and be well. Dr. P
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Treat with cortisone injections

Nordic-  The subcutaneous scarring you are describing cannot be treated by surgery.  It is treated only by cortisone injections in the supratip area of the nose.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Rhinoplasty swelling can last for a long time

With each Rhinoplasty, the scarring can get worse and last for longer periods of time. A fourth time Rhinoplasty can have residual scarring, that makes the tip swollen for very long periods of time. Furthermore, any effort to operate on this tissue can leave you looking like Michael Jackson.
Robert M. Freund, MD
New York Plastic Surgeon
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