Is it possible to remove scar tissue without revision rhinoplasty? (Photo)

Question

I had a rhinoplasty/septoplasty performed in 2021 by a fantastic surgeon in Melbourne. Unfortunately I developed scar tissue build up on the right side of my nose (images are mirrored) and I’ve had multiple cortisone injections tto help and there’s been no change. As Mother to a 1 year old, a revision isn’t affordable so I’m hoping there’s another way I can feel more confident again.

Eric M. Joseph, MD · Answer

Based on your photo, you appear to have relatively thin nasal skin. Since you are several years after your surgery, it is possible that what you are seeing or feeling may be cartilage and not scar tissue. If you like, feel free to re-ask your question with photographs that better demonstrate your concern. Thank you for your question. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, I am sorry to say that the only way to correct this is revision rhinoplasty.   Maneuvers for your surgery would include tip refinement, nasal tip deprojection, tip elevation, tip debulking, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

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

Robert J. Chouake, MD · Answer

Hi LouDelaney,
It is a little difficult for me to see the scar tissue you mention in the picture you provided.. but i will assume for the sake of the question that there is a scar tissue built up under the skin and the issue you are concerned about is not caused by something else...
Given that your surgery was in 2021 and you’ve already undergone a series of injections without success, surgical excision of the scar tissue is often the next logical step. Often times this can be a "minor revision". I would recommend reaching out to your surgeon and discussing the situation with them again. Depending on what's going on under the skin, the revision may be less complex&mdash;and less costly&mdash;than you think.
If you're not ready to pursue a revision surgery, discussing potential alternative options with your surgeon could also be helpful. In certain cases, filler can be used to camouflage irregularities in the nose. 
Wishing you the best! Dr. Chouake

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