Castor Oil for Reducing Subcutaneous Scar Tissue Post Revision Rhinoplasty?

Question

I had a revision rhinoplasty about 15 months ago that involved a lot of reconstruction/refining of the tip, adding height to the dorsum and thinning the supra tip scar tissue. As a result my doctor who is very well known in London had to use collumellar strut, ear cartilage and alloplastic grafts. As of today I have a lot of bulk in the supra tip area under skin and my doctor agrees most of it is scar tissue. He advised against the steroid injections. How useful can a castor/rosehip/frankincense oil massage be to reduce the internal scar? Thanks.

Raffy Karamanoukian, MD, FACS · Answer

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars. 
 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Burr von Maur, MD · Answer

I would love to see your "BEFORE" and "AFTER" photos! It sounds like your London doctor did all the right things. If your ethnicity is middle-eastern, the swelling could take up to three years to subside; however, I would not hesitate to use a little steroid injection at this time as this has been helpful in my practice. I don't believe that castor oil will help.

Samir Shureih, MD · Answer

Scar modification by pressure, massage is possible. Castor oil or other homeopathic treatment, as long as it is not harmfull you can try, no science behind it.
You are 15 monthes after rhionplasty with major super tip deformity then you may need another surgery

Castor Oil for Reducing Subcutaneous Scar Tissue Post Revision Rhinoplasty?

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Castor Oil for Reducing Subcutaneous Scar Tissue Post Revision Rhinoplasty?

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Everything you need to know about Revision Rhinoplasty

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