Is there any way to correct nose job related scar tissue?

Rhinoplasty surgery is frequently
accompanied by the development of scar tissue. This scar tissue may occur in
several locations including external incisions, the subcutaneous tissue, and
the internal nasal cavity. Excess scar tissue can result in impairment of nasal
function and altercations in nasal aesthetics.















Scar formation in the vast majority
of patients is normal to some degree. It typically responds to conservative
management, including massage and tincture of time. In rare situations, more
aggressive treatment may be necessary. This may require surgical scar revision
or steroid injection.

Major
interventions for scarring should not be undertaken for at least one year
following rhinoplasty surgery. During this period, scar tissue gradually
softens and swelling slowly resolves. In many cases areas of concern will have
total resolution without intervention. If you have concerns about scarring
following rhinoplasty make sure you discuss this issue with your plastic
surgeon. Your surgeon will be able to recommend the appropriate course of
action to ensure the best possible result from rhinoplasty surgery.

Noses heal very differently than a lot of other body parts.  Depending on your tissue type scar tissue formation can be a real issue.  This tends to be in thick skinned individuals. Unfortunately there is no real good solution.  Reoperation often leads to worse results and more scar tissue.  Injections of steroids and 5FU are also available but you must be very careful as they may thin out the overlying skin and cause a host of other issues.  Many times you need to wait years for it to slowly improve.  Tough problem

Hello and thank you for your question. The answer to this will depend on what type of scar tissue, the location of the scar tissue, and the duration since your surgery. Often times scar tissue can be addressed with Revision Rhinoplasty surgery. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

In early healing phase the scar tissue can be minimized with steroid injections and massaging. If it is past one year then surgical excision of the scar tissue can be achieved. RegardsDr. Janjua

Everyone forms scar tissue after rhinoplasty surgery - as a revision rhinoplasty specialist, we see scar tissue present in all noses that have had previous surgery. If excessive scar tissue causes a visible irregularity after rhinoplasty, triamcinolone acetonide 2.5mg/cc may be considered by your surgeon, depending on your examination.Hope this helps.Dr Joseph

Scar tissue after rhinoplasty can be improved.  The treatment depends on where the scar tissue is.  If the scarring is beneath the skin, this will show more in patients with thin nasal skin.  Treatment may consist of fillers or revision surgery to place fascial grafts in areas where the scarring has caused a visible contour irregularity. If there is external scarring (which is very rare) of the skin, fractionated laser can be an effective treatment.  Dermabrasion can also be helpful.  See a revision rhinoplasty specialist to evaluate your nose in detail and make recommendations.

Thank you for the question. Scar tissue can form wherever incisions are made or tissue planes separated. Depending on the approach and specific maneuvers performed during your rhinoplasty, scar tissue may form in different places. If the scar tissue is internal, this is treatable in most patients using a combination of steroid injections (kenalog in different strengths) and massage.  Over time, as the residual swelling resolves, improvements in contour will be seen. For scars that form at the external incisions, sometimes scar revision is indicated -- though not typically within a year of the surgery.

Scarring from rhinoplasty usually heals really well, but it is extremely important that you give it time. Pressure exercises may also help! 

 

There is no optimal way to remove a scar. Secondary rhinoplasty is a complex procedure to reshape the underlying framework and close dead space. How an individual scar heals is based 90% on the genetics of the patient. Secondary rhinoplasty surgery is a challenge in managing the post operative result.

During the recovery phase of rhinoplasty some patients may develop unwanted scar tissue under the skin. This unwanted scar tissue can cause excess fullness that contributes to an irregular contour whether it be along the bridge or around the tip. In some cases, taping the skin down on a regular basis can minimize the impact of the scar tissue. In other cases, a steroid may be needed to soften or dissolve the scar tissue.

Kenalog is the most common steroid I happen to use for rhinoplasty patients. There are two different concentrations that I use routinely - one mild and the other strong. Sometimes it takes only one injection to reverse the effects of the scar tissue while in other cases a series of steroid injections may be indicated. If a series is required, I will typically space them apart by 6-8 weeks, which I find to be a safe interval between injections.