Why Does my Nose Turn Red Every Afternoon After Revision Rhino?

Hi - I had a revision rhinoplasty 2 years ago. I have a very strange situation - every afternoon, my nose turns red, throbs, feels warm, looks swollen, and I feel congested. This lasts for about 1 -2 hours. It happens regardless of what I eat for lunch, regardless of what I drink. I have been evaluated by dermatologist and do not have rocasea, I do not drink alcohol, I use fluticasone nasal spray daily and take an oral antihistamine daily. Any thoughts on what this could be and any treatment?

Doctor Answers 3

Red nose after rhinoplasty

A chronic inflammation or intolerance of an implant is the first thing to rule out.  Your surgeon should be able to tell you if there was any foreign materials used during your surgery.  The second is generalized injury to the skin/soft tissue envelope of the skin after multiple surgeries.  Each time you have a surgery the vascular and lymphatic vessels of the nose will be challenged, and you may end up with permanent consequences.  Vascular inflow or outflow may be impaired causing blanching (esp with cold weather) or congestion, or propensities to hold swelling for long periods of time from damaged lymphatics.  Finally, skin conditions such as rosacea must be considered, even if your derm feels they are not likely.  All things to continue to bring up with your doc, even two years out.

Madison Facial Plastic Surgeon
4.7 out of 5 stars 14 reviews

Red nose?

Without having more of a history,  it is difficult to say what could be the cause. If you had a graft placed it may be infected.  You should see your surgeon to be properly evaluated.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Why Does my Nose Turn Red Every Afternoon After Revision Rhino?

My first question to you is: Did your surgeon use any implant material in your revision? If yes, what kind? You can have a slow, indolent infection from even a small amount of implant material. If not, (and your sure it's NOT) then you may want to get an MRI of your nose.

Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 274 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.