What if major blood vessels are damaged during rhinoplasty? What can be done?

My tip is very cold all the time (many months post rhinoplasty/shawing off hump and bone that I did not want but plastic surgeon did illegaly.) When is the circulation coming back? Winter is coming and I fear the worst that my nose tip will die, I'm enthusiastic outdoor person even when it is as low as -4 F

Doctor Answers 4

Blood supply to nasal tip

It is unlikely that your nose is at risk for losing blood supply, especially since you are many months out from surgery. I would not worry about this. 

Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 30 reviews


The paired columellar arteries are severed during an open rhinoplasty; however, angular arteries from each side of the nose continue to supply the tip via anastomoses.  This should provide sufficient blood supply even in cold conditions.  If concerned about exposure, it may be best to wait a year after surgery before risking extreme exposure situations.  Best wishes, Dr. T. 

John Michael Thomassen, MD
Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 49 reviews

Cold nasal tip after rhinoplasty

The nasal tip has paired blood supply from several arteries so it would be very unusual to severely affect blood flow. To assess flow press on the tip with your finger until it blanches, release, and see how rapidly the color returns. It should be just a few seconds. The other reason for it to feel cold is loss of sensation which may take a year to recover.  I would be concerned if it gets white when in the cold. Hope that helps. 

Mark Loury, MD, FACS
Fort Collins Facial Plastic Surgeon
4.8 out of 5 stars 18 reviews

Cold nasal tip

Dear joshhhi, It is normal to have some numbness after surgery and decreased tip sensation after rhinoplasty. This usually resolves with time. However, this does not explain the cold insensitivity. I recommend following with your rhinoplasty surgeon to have a nasal examination completed to rule out any issues.

Gina Chu, MD
Chevy Chase Facial Plastic Surgeon
5.0 out of 5 stars 7 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.