Excess Skin Between Eyes After Rhinoplasty, What Fixes This?

I've had two rhinoplasties to remove a large hump on the bridge of my nose, the second one being about two weeks ago. Now that the swelling has gone down in the area I've noticed that I have excess skin around the side of my upper nose next to my right eye. On the left side the skin in the same place is tight and looks normal. The problem is that the contour of my nose looks very asymmetrical now as it appears to curve on one side. What type of procedure should I have done to fix this?

Doctor Answers 7

Rhinoplasties take years to fully heal.

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At two weeks, I would not get too excited about what you see or don't see at just two weeks after a rhinoplasty.  Swelling can make this area look like it has too much skin.  This will improve with more healing.  It is possible to directly remove skin on the bridge of the nose by direct excision.  A decision must be weighed between the visible scar that will be produced vs the appearance of the excess skin.  That assumes that you have "excess skin" once you have healed.  Your surgeon would most likely advise you to wait 6 to 12 months before assessing this.

Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Rhinoplasties Take Awhile

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You are still very early to access any type of result from your rhinoplasty. At two weeks, there is still tissue and bony swelling. I have never seen a case where we had to resect skin.

Rhinoplasty result should get better over time

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You are still very early in your recovery phase following your rhinoplasty.  This excess of skin you are noticing will get better over time.  

Dealing With Excess Skin Between Eyes

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At two weeks following a rhinoplasty it is very difficult to assess whether any sort of procedure would need to be performed.   I would allow for a significant amount of time (like over a year) to elapse before considering any intervention.  I have only needed to excise excess nasal skin in patients with hypertelorism (a congenital birth defect where patients have a widened distance between their eye sockets).  So hang in there.

Michael Sundine, MD
Orange County Plastic Surgeon

Excess Skin Between Eyes After Rhinoplasty, What Fixes This?

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At two weeks this is likely due to swelling. It can take several months up to one year for the nose and surrounding area to completely heal. You should be following up closely with your rhinoplasty surgeon for the next few months. If that swelling is not settling by three months and the asymmetry improving bring it to your surgeon's attention. However, it is highly likely that any asymmetry you see around your eyes will resolve with time.

Nose asymmetry after rhinoplasty

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Two weeks after a rhinoplasty swelling has a tendency to distort the nose. There is also asymmetrical healing on either side of the nose. Be patient. This should even out over the next few weeks. If at 3-6 months, the asymmetry is still there then I would communicate with your surgeon to see what can be done to resolve this or you can request a second opinion at that time.

Kristina Tansavatdi, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 39 reviews

Wait for healing to occur.

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Thank you for the question.  This early on in your recovery swelling may be a factor in the skin issue  you describe.  If this is the case both the swelling and the skin issue will improve over the next few weeks.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 170 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.