Inner nostril redness and broken capillaries visible - rhinoplasty - will this resolve? (Photo)

Question

3.5 weeks post op. I've noticed the inside my nose near the columella has broken capillaries and redness which are visible looking at my profile and give the impression of my nostrils being much larger than they are. I can also feel two firm lumps either side of the columella that has a cartilage like feeling. I've been applying the antibiotic ointment and took a course of antibiotics two weeks ago but the redness and capillaries don't seem to be settling. Any suggestions?

Jon Kurkjian, MD · Answer

Thabks for your photos. I would recommend that you stop using the antibiotic ointment as I commonly see this cause redness with prolonged use. 
The telangiectasias may or may not resolve on their own. If no improvement after 6 months, you can pursue laser treatment to address the area. 
Good Luck!!

Fred J. Bressler, MD, FACS · Answer

Often antibiotic ointment application can irritate the columellar area and lead to persistent redness. The telangectasias may have been present before surgery, but can become more prominent immediately after surgery or sometime appear for the first time. In general, I would check with your doctor, but I recommend you stop the antibiotic ointment application and allow this area to settle down on its own.  Any persistent redness or capillaries can be treated with KTP laser or other similar lasers for additional improvement. Most often, redness and broken capillaries disappear, without treatment, within 3-6 months post surgery. Hope this answer helps.

Inner nostril redness and broken capillaries visible - rhinoplasty - will this resolve? (Photo)

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Inner nostril redness and broken capillaries visible - rhinoplasty - will this resolve? (Photo)

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