Skin on nose after rhinoplasty. Is this normal? (Photo)

Based on your narrative and your photo, these brown spots appear to be Sunspots. I suspect if you utilize Sunscreen and keep your nose out of the sun, this will go away on its own. Depending on your examination, a bleaching cream might be considered as well. I hope this is helpful! Sincerely, Dr Joseph

The discoloration on the skin of your nose looks like hyperpigmentation from excessive sun exposure. An in person exam is always best, and following up with your surgeon will give the most definitive answer.

Based off your limited photo - looks as if the skin changes resemble melasma. Try to follow up with your surgeon and also a derm specialist to see if there are options to help with this (creams, lasers, peels). Sometimes post-op can cause changes that you've never had before as well.

Dear Cute,

It is unlikely that the rhinoplasty is the cause of pigmentation 9 months after surgery. Pigmentation can happen from sun exposure, and when it happens can respond to sun screen, topical peels and skin turnover creams such as treretinoin. A dermatologist or cosmetic plastic surgeon should be able to guide you. Good luck!

Dr. Nathan

Miami, Fl

Hello and thank you for the question. Patients can develop hyperpigmentation following a rhinoplasty in some cases. These areas can sometimes be treated with topical therapies or laser treatments. I would suggest speaking with your surgeon about this finding to discuss treatment options and protecting the area with a good quality sunscreen daily.

Hello,
Thanks for your question. Yes, skin discoloration can occur after rhinoplasty. It may be related to healing blood supply, iron deposition after bruising, temperature changes, etc. It is nothing to worry about. Make sure to wear sunblock on your nose as it is sensitive to UV radiation and can burn more easily. If it doesn't resolve speak with your surgeon.
Good luck.
Dr. Shah

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. Usually it is skin issue rather than the previous surgery.

Thank you for your question!

It is normal to sometimes have skin changes following a rhinoplasty. The skin can change with the hotter months as well as the cooler months. It would be best to follow up with your provider regarding your concerns. Have him/her exam the area and possibly ask about thinning of the skin?

Best of Luck!

To me, this looks like freckling of the skin, which could be a mix of skin sensitivity and sun damage – especially as the nose bone is the first thing the sun hits. Wear a high factor SPF and preferably a hat when outdoors.

As you are 9 months post-op, the risk of infection or necrosis is low. However, if you notice a change in this or a change in texture of the skin, please get in touch with your Plastic Surgeon.

Appears to be excess pigmentation possibly from melasma, a benign skin condition. Use of skin bleaching agent like hydroquinone cream.

Hello and thank you for your question. This may be due to sun exposure or perhaps if your skin was overly thinned out during surgery. You should be seen by your surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon