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Is This Synechium Scar Tissue After Revision? Does It Cause Swelling? (photo)

asked 4 months ago by smilebaby123 in San Francisco, CA
Latest answer by Richard W. Fleming, MD
Question viewed 340 times
Tags: 3 months post-op, cartilage, implant, scar tissue, swelling

1st surgery was in Oct 2008. I had a silicone L-shaped implant inserted. I first noticed this weird nostril-blocking fleshy-thing sometime after the surgery. I ignored it because I thought it was inside of my nose anyways and no one is going to see it unless they look up my nose. Revision in Nov 2011. Implant replaced with ear cartilage. The fleshy nostril-blocking thing on my right nostril is still there. I found out it was called a synechium. Is this scar tissue? Does it cause swelling? Thx.

6 answers to Is This Synechium Scar Tissue After Revision? Does It Cause Swelling? (photo)

+1

Is This Synechium Scar Tissue After Revision? Does It Cause Swelling?

This appears to be a web along the top portion of the incision used in a Closed Rhinoplasty. Rhinoplasty Surgeons sometimes don't close that section of the incision but I always do in order to prevent just such an occurrence.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Synechia Obstructing Nostril

This is a band of scar tissue called a "synechia" which can be reduced or eliminated surgically. It probably does obstruct nasal air flow.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Scar Tissue After Revision

This type of scar tissues can and do cause obstructive symptom and can be corrected with incision ( laser vaporization is best ) and silicone sheet splint between cut areas for several days.
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

Is this a synechiae?

It is a web which is scar tissue. Unless it is causing you breathing problems it requires no treatment.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

Rhinoplasty Scar Tissue

Your picture appears to show scar tissue in the nasal vestibule, probably extending into the internal nasal valve. This is one of the most difficult complication to correct after Rhinoplasty. However, release of the scar tissue followed by application of mitomycin might be helpful.
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Scar tissue Inside Nose

The"fleshy nostril-blocking thing" IS scar tissue bridging across the apex of the nose, in this case, near the nasal valve, a very important part of the nasal airway. These are quite challenging to get rid off and are best avoided.
Peter A. Aldea, MD

Memphis Plastic Surgeon

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