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

Post-inflammatory hyperpigmentation (PIH) is a condition where the skin becomes darker in certain areas. This can happen after an injury, inflammation, or in this case, a surgical procedure like rhinoplasty. In simple terms, when the skin is injured or inflamed, the body responds by producing more melanin, the pigment that gives skin its color. This extra melanin can cause the affected area to look darker than the surrounding skin.
In the context of rhinoplasty, PIH can occur as a response to the trauma from the surgery. The nose might develop darker spots or areas, particularly in people with darker skin tones, because their skin naturally has more melanin.
Here are some solutions to manage or reduce post-inflammatory hyperpigmentation after rhinoplasty:
Sun Protection: Sun exposure can worsen PIH, so it's essential to protect the skin from the sun. This means using a high-SPF sunscreen, wearing hats, and avoiding direct sunlight, especially right after surgery.
Topical Treatments: Certain creams and ointments that contain ingredients like hydroquinone, kojic acid, or vitamin C can help lighten the darkened skin areas. These should be used under the guidance of a dermatologist or plastic surgeon.
Gentle Skincare: Avoid harsh skin treatments or products that can irritate the skin. Stick to gentle cleansers and moisturizers.
Patience: PIH can gradually improve over time. It's important to be patient and give the skin time to heal.
Medical Treatments: In some cases, treatments like chemical peels, laser therapy, or microdermabrasion might be recommended by a skincare professional. These treatments should be approached with caution and only under professional guidance, especially after a surgical procedure like rhinoplasty.
Avoiding Irritation: Try not to touch or pick at the affected areas, as this can increase inflammation and worsen PIH.
It's important to discuss any concerns or treatment options with a healthcare provider, as they can give personalized advice based on the specific case.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. Based on the image, I recommend treating the area with a CO2 laser to help minimize the appearance of the scar and resurface the skin. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Looks like you are developing PIH from sun exposure to the area that still has some healing going on (and therefore inflammation) from your recent rhinoplasty. This is an issue with sun exposure after any surgery, particularly with skin that tans easily. Often seen in Asians too. You should immediately start using an SPF 50+ sunblock as part of your daily routine (I prefer mineral based ones, particularly for the face as they are less irritating to the eyes and less toxic). Also, see your plastic surgeon as soon as possible to confirm the diagnosis and start treatment to reverse the blotchiness. If they are not comfortable treating it (most are very familiar with this condition) they can also refer you to a dermatologist. Don't delay as this can result in permanent brown spots!