What causes scar tissue formation after a rhinoplasty?

First of all swelling is not the same thing is scarring. Minor trauma that you describe will have no long-term influence on the operation. Eventually when the swelling subsides the actual scarring will be very minimal.

Hello,If you are referring to scar tissue that causes an unanticipated outcome such as fullness around or above the tip, it is likely due to excessive bleeding at the time of surgery.  Although possible, minor traumas post surgically are unlikely to cause this problem.Best of luck!

Rhinoplasty requires both incisions and dissection of tissue planes.  Following rhinoplasty the normal healing process at the incision sites and dissection planes heals through a well-described series of steps including blood vessel ingrowth, cell migration and collagen production.  This is essentially the same process involved in scar production, except in the formation of excessive scar tissue the process goes "too far".  In the healing phase following rhinoplasty any insult such as trauma, infection, allergic dermatitis or sun burn can result in increased inflammatory stimulus resulting in excessive collagen production and therefore excessive scar formation.  Blunt trauma following rhinoplasty has a risk of triggering excessive scar formation only if it is severe enough to result in bleeding or obvious swelling following the trauma.Mario J. Imola, MD, DDS, FRCSC, FACS.

Scar tissue develops after injury or trauma so repetitive hard trauma can increase the development of scar tissue in the nose. However, tiny bumps to the nose are unlikely to create more scarring. Some people do have a tendency to create more scarring and excessive scar formation can be somewhat controlled if there is knowledge of this problem before the surgery.

 Thank you for your question. Scar tissue forms as the body attempts to heal itself. Once healed minor trauma should not result in the formation of additional scar tissue. Swelling is caused by a decrease in the fluid drainage as a result of the incisions used. If you have any concerns I would speak to your rhinoplasty surgeon regarding either scar tissue or swelling. Best wishes Theodore T Nyame M.D.

Scarring of the nose and swelling of the nose is possible after nasal surgery. Scarring can be stimulated by trauma to the nose. Swelling can be created by having salty foods.

Hi, I have performed and taught Rhinoplasty for over 30 years.  Excess scar tissue formation, following a Rhinoplasty, is caiused by chronic swelling in the subcutaneous tissue.  This is why I teach all my Rhinoplasty patients how to properly perform manaul lymphatic draininge of their nose starting at 1 month post op and continued until the swelling has resolved.Hope this helps. 

Dear 96district, Some degree of scar tissue formation occurs in all surgery that usually resolves in time and does not compromise the result. Excessive scar tissue formation that effects the cosmetic or functional result is often due to poor surgical technique, excessive bleeding after surgery, or post surgical trauma. Minor bumps to the nose should not effect scar tissue formation. Best regards, Michael V. Elam, M.D.