Revision rhinoplasty post op 7 months. Why is the nose leaking blood and fluid? (Photo)

Question

Updated: My nose has cartilage protruding and is very red and scarred dent between nostrils at tip of nose 7 months post op. Had revision rhinoplasty 7 months ago as my nose collapsed after using ear cartilage,this time my own rib was used and i also had a silicone septal button fitted,my nose has leaked blood and sometimes clear fluid from just under the tip where it looks like a suture has been as its a tiny hole,this has bern ongoing past 4 months cartilage is clearly visible through my skin and my whole nose is red and scarred seen consultant advisef its still healing im so depressed it looks bad pics attached. Very congested have to clean my nose at least 10 times per day.

Randal Haworth, MD, FACS · Answer

I'm sorry to hear that you're experiencing difficulties and are feeling depressed about the appearance of your nose after revision rhinoplasty. It's essential to consult with your surgeon or a qualified healthcare professional to evaluate your specific situation and provide appropriate advice.

Based on your description, the persistent leaking of blood and clear fluid, along with the visibility of cartilage through the skin, could be indicative of an ongoing healing process or potential complications. It's possible that the tiny hole you mentioned could be related to an unresolved suture or another issue that needs to be addressed.

At this stage, it's crucial to follow up with your surgeon and communicate your concerns in detail. They will be able to assess your condition, determine the underlying cause of the ongoing issues, and recommend the appropriate course of action. This may involve additional treatments, revision surgery, or further monitoring.

It's important to remember that the healing process after rhinoplasty can vary from person to person, and it can take time for final results to be fully realized. However, persistent issues such as the ones you described warrant professional evaluation and attention.

I hope this helps,
best of luck !

Eric M. Joseph, MD · Answer

Based on your photos, we can see that you have very thin nasal skin and you also have visible cartilage grafts along the bridge of your nose, along with asymmetries of your nasal tip. If you have an extruding suture that you can see, this should be removed since it could be the course of inflammation redness and discomfort. This would be an office procedure by any competent facial plastic surgeon. Once your inflammation is resolved, and you have reached your final result, depending on your examination, microdroplet Silikon-1000 injections maybe considered for camouflaging many of your visible cartilage grafts and for improving upon your nasal symmetry without further surgery. I hope this is helpful for you, and I wish you nothing but the best moving forward. Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photos you provided it looks like the cartilage used has moved. You are already 7 months post-op, it won't change that much even in a few months. I highly recommend you a revision rhinoplasty surgery to reshape the nose and also solve your congested nose problem.
Best regards!

Huseyin Balikci, MD · Answer

Please admit your ear nose throat specialist doctor. You may have infection, allergies or vasomotor rhinitis.

Revision rhinoplasty post op 7 months. Why is the nose leaking blood and fluid? (Photo)

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