I have telangiectasia after rhinoplasty. Am I at risk if external incision is made in under eye surgery?

Question

I have mild redness under my nose from a rhinoplasty done years ago which my dermatologist thinks is telangiectasia. I am now getting under eye blepharoplasty to remove bags - does my previous symptom indicate that I am at high risk of telangiectasia under my eyes if an external incision (i.e. under my lash line) is done to remove excess skin? Additionally, I am of Asian heritage and have had a couple of experiences with getting raised scars - does this also indicate high risk of abnormal scarring?

John J. Martin, Jr., MD · Answer

These are pretty common after nose surgery, and can be treated with laser.  Would be rare to see this occur in the lower lid after a bleph.  Also very rare to see any significant scarring after lower lid surgery.  Some people may get a hypertrophic scar out laterally beyond the canthus which can be treated with laser or steroid injections.

Malcolm A. Lesavoy, MD, FACS · Answer

Just because you have telangiectasias ion one area does not put you at risk with surgery to have them in other areas.

William Portuese, MD · Answer

Telangiectasias are much more common in the nose than they are in the eyelids. They can be treated with electrocautery, IPL, or laser.

I have telangiectasia after rhinoplasty. Am I at risk if external incision is made in under eye surgery?

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