Filler in my nose glowing red, has a blue color, it’s translucent, red veins. Will this be fixed with a third rhino? (Photo)

Question

I’ve had rhinoplastic 15 yrs ago, a 2nd one about 5 years, the dr. when I had this last one he said he fixed my breathing, but he did left a dent (where the darkest spot is now) it’s been black ever since. he said the hole would go back to normal and after some months he injected HA to fill up the hole and other parts. Casual smoker, one cigarette per day. Did I developed a small hemosiderin skin? Can I dissolve this with Hyaluronidase? Can I get necrosis? ? Will this be fix with a 3rd rhino?

Eric M. Joseph, MD · Answer

The areas you are highlighting appear to be superficial capillaries, and brownish skin discoloration. Both of these skin conditions may be improved with IPL or laser treatments, depending on your examination. Nasal redness tends to occur after multiple rhinoplasties, and this may be treatable. Hope this helps. Dr Joseph
IPL Treatments for Skin Discoloration
IPL PhotoFacials reduce unwanted brown discoloration of the skin from sun damage, and red discoloration from visible capillaries. These painless procedures have no downtime, you'll see a visible reduction of brown spots and red discoloration gradually over the weeks following your treatments. The redness and flushing of rosacea can be reduced by 80-90% after several treatments.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi Alejandro! It very well could be hemosiderin staining. If that's the case, you could try IPL to see if improvements can be made. Dissolving with HA will likely just create a divot again, though, if it is the Tyndall effect, you may see resolution of any blue-appearance. I don't believe the area is necrosis and I don't believe a 3rd rhinoplasty would correct the coloration, though the divot could be improved. Cigarette smoking is not ideal for healing as you know, though 1 per day is fairly low. Hope this helps you!

Filler in my nose glowing red, has a blue color, it’s translucent, red veins. Will this be fixed with a third rhino? (Photo)

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Filler in my nose glowing red, has a blue color, it’s translucent, red veins. Will this be fixed with a third rhino? (Photo)

Answers (2)

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