Can a doctor remove scar tissue from a rhinoplasty if there's a graft in the nose?

I have thick oily skin and have had two setbacks w/ healing after revision rhino w/tip elevation--one an accident at 6 weeks, another b/c I hit a blood vessel pushed under the skin. I'm not 4 months post-op & the medpor tip top graft is intact, but there is a huge ball at the end of my nose. I am incredibly uncomfortable b/c the fluid buildup. Can a surgeon safely remove scar tissue after rhinoplasty if there's an implant, w/out full revision? (He is against kenalog injections.) When?

Doctor Answers 2

Scar tissue removal after rhinoplasty

Without viewing any photos, it's difficult to answer your question specifically; however, most surgeons would not go back at this stage (4 months out) to do anything surgically. You really need to wait a full year before considering this. If the problem is excessive scar tissue, it certainly can be removed at the time of a revision procedure irrespective of the implant used, although it's a bit more challenging with Medpor. If I am concerned about excess scar tissue, I will usually offer kenalog injections sometimes as soon as 2 weeks after surgery. They are quite effective. Good luck.

New York Facial Plastic Surgeon
5.0 out of 5 stars 33 reviews

Can a doctor remove scar tissue from a rhinoplasty if there's a graft in the nose?

Hard to know without an exam, but, with your description, you probably have a great deal swelling remaining at this time. Scar tissue can be removed in the future.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

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