Why does the skin thicken after rhinoplasty surgery?

I have had 3 rhinoplastys due to a couple of errors, and now the middle part (the skin) of my nose has thickened. It doesn't look natural because my tip is thin and the above part of my nose is thick.

My last operation I had the skin thinned, but it didn't really help. Why has this happened? And what are my options? Is cortisone therapy an option? Thank you for reading this. Please help!

Sort: Date | Helpful
7 answers to “Why does the skin thicken after...”

A: Thickened skin after rhinoplasty can occur from repeat operations

Scott Trimas, MD

Thickened skin after rhinoplasty can occur from repeat operations; however, this is more common in the tip area of the nose. You may have developed some excess scar tissue in the middle third of the nose which can cause this problem. Alternatively, sometimes an underlying implant or cartilage graft may be the... more

A: Revision Rhinoplasty and skin thickening

Raffy Karamanoukian, MD

It is most likely that the thickening of the skin on the nasal bridge and dorsum is due to deposition of collagen, or scar, along the nasal dorsum and cartilage. This may affect skin aesthetics and texture. Speak to your surgeon as they may be able to use a special injection to soften the scar tissue.

A: Rhinoplasty and skin

Steven Wallach, MD

Thickened skin after rhinoplasty is most likely due to swelling or scar tissue development.  Actually, most commonly the skin thins regardless if the surgeon attempts to thin it or not.

A: Thick Skin After Rhinoplasty

Daniel Reichner, MD

Eva Thickening of the skin above the tip can happen after rhinoplasty especially if you had thicker skin in this area before surgery, a large hump was removed and excessive scar tissue forms. The swelling in the morning is due to vascular congestion. Kenalog injections, if done properly, can help thin this... more

A: Most likely scar tissue and skin type

Michael A. Persky, MD

Hi Ms Smith, Sorry to hear about your unsatisfactory rhinoplasty results.  It is difficult to answer your question without before and after pictures of your nose. Thick, oily nasal skin is difficult to work with.  With this type of skin, if too much cartilage and bone are removed, the nose may lose... more

A: The answer depends on your operation

D.J. Verret, MD

Greetings, There are several reasons for the apparent thickening of your nose. One is that scar tissue has built up under the skin. In this case, steroid injections may be beneficial to decrease the amount of thickening. Another possible cause is tissue that was placed in your nose as part of the previous... more

A: Thicker skin is a common result of mutiple rhinoplasty surgeries

Usha Rajagopal, MD

Skin thickening happens because each time you repeat rhinoplasty surgery, scar tissue builds up after each rhinoplasty surgery. Has it clearly been determined that it is excess skin and not too much or too little cartilage or bone? The appearance of “thicker skin” could be part of the cartilage or... more

Comments

kara19999
1 post
13 Nov 2008

hi i recently had a rhinoplasty about a year ago the results are fine but i wish he wouldnt have thinned out my nose as much as he did on one side. its not the bridge of my nose i like that part its the cartalige right under the bone by the nostroils. What is something I can do to acheive the look I want and make it look more plump?

Eva Smith
unregistered guest

15 Dec 2008

Thank you for answering my question. I really appreciate your help. I am sorry I didnt mention that the surgeries were 5 years ago. Is it still possible to have kenalog, to thin the skin? Just some more information, the skin around the nose still swells up in the morning, after 5 years, is this from the scar tissue. Thanks again, Eva

Andre
1 post
11 Apr 2009

Thank you.

Post your question

Rhinoplasty before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.