I had a revision rhinopalsty four months ago which made my nose thinner. My nose looks good from most angles except that when in direct sunlight the skin in the area where the edges of the nose on both sides meet the cheeks is really thick so my nose appears to be sloping outward on both sides (Imagine a teardrop shaped nose). It looks swollen and when I press on it it feels spongy. I apparantly have a high propensity for forming scar tissue. Is this a skin shrink wrap issue/swelling/scarring
May 28, 2013
Answer: Revision Rhinoplasty and swelling
Hi, the swelling you are experiencing is not unusual after primary rhinoplasty let alone revision rhinoplasty. The lymphatic drainage after revision surgery is compromised and swelling takes longer to settle. The particular area you are describing may be along the osteotomy lines where the bone was broken and this can be callus formation (the healing reaction of any broken bone) which takes a long time to settle if it forms. There may also be cartilage grafts in this area. Sometimes I will inject a steroid to accelerate its settling but more often than not regular pressure on the sides of the nose, 2-3 times per day, will help it along.
I hope this helps to reassure you, but if you are really concerned then have a review with your surgeon.
Dr Michael Zacharia
Helpful
May 28, 2013
Answer: Revision Rhinoplasty and swelling
Hi, the swelling you are experiencing is not unusual after primary rhinoplasty let alone revision rhinoplasty. The lymphatic drainage after revision surgery is compromised and swelling takes longer to settle. The particular area you are describing may be along the osteotomy lines where the bone was broken and this can be callus formation (the healing reaction of any broken bone) which takes a long time to settle if it forms. There may also be cartilage grafts in this area. Sometimes I will inject a steroid to accelerate its settling but more often than not regular pressure on the sides of the nose, 2-3 times per day, will help it along.
I hope this helps to reassure you, but if you are really concerned then have a review with your surgeon.
Dr Michael Zacharia
Helpful
May 29, 2013
Answer: Recovery after Rhinoplasty
It is depend on the type of surgery done. If we are redesigning your tip, it is usually fine after the first week and the final shape will be seen after couple months. However if I have to mobilize your bone, the swelling under your eyes could be there for 2 wwks and my patient prefer to be off from work for this time period. So overall I can say count on for two weeks and the first week you will stay at home.
Helpful
May 29, 2013
Answer: Recovery after Rhinoplasty
It is depend on the type of surgery done. If we are redesigning your tip, it is usually fine after the first week and the final shape will be seen after couple months. However if I have to mobilize your bone, the swelling under your eyes could be there for 2 wwks and my patient prefer to be off from work for this time period. So overall I can say count on for two weeks and the first week you will stay at home.
Helpful