What could cause the nose color to change after rhinoplasty?

Question

I've seen some posts of people complaining that the tip of their nose is blue or red. I was wondering what would cause a blue nose and red nose.

Pejman Aflaki, MD · Answer

Hello and thank you for your question. Early after rhinoplasty, there are changes to nasal skin circulation and vascularity that can alter the skin color. This should resolve spontaneously over time. Your surgeon is your best resource. Best,
  
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Luis A. Mejia, MD · Answer

Hello dear, thank you for posting your doubts.
It is not unusual to have such discoloration for a long time, it tends to happen due to some changes in vascularity but it always go back to the color it used to be. Anyways, everybody is different and reacts from different ways so I recommend you to not compare yourself with any other person.Please consult a board certified plastic surgeon for any other doubts.Best of lucks.Dr. Luis Mejia

Ronald J. Edelson, MD · Answer

The nasal tip may be slightly discolored while the splint and tape are holding it but should resolved once the splint is removed. I have never seen such discoloration long term.

Richard H. Tholen, MD, FACS · Answer

Depending on the time after surgery, color change in the first 6-12 months can be due to changes in vascularity. Redness can increase because skin healing and metabolic activity can cause vasodilation. Blueness can result from venous congestion and oxygen being extracted from the "sluggish" venous capillaries. As tissues remove oxygen from the hemoglobin in these capillaries, they get darker and darker, causing a bluish coloration to the normally pink (oxygenated) skin.Chronic skin conditions such as rosacea can also cause redness, which is more visible right after surgery. Healing resolves most of these color changes, but scar tissue and things like rosacea can contribute to long-term color changes. Every patient is different, and most rhinoplasty patients do not have these extremes of color change. Best regards! Dr. Tholen

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!Following tip rhinoplasty, there will be inflammatory swelling as well as temporary ingrowth of new blood vessels as part of the healing process, which may impart a reddish color to overlying skin. As healing completes, the blood vessels recede and color of the skin should return to normal. A bluish color to the nasal tip during healing suggests a degree of venous obstruction and congestion which usually resolves spontaneously as well. Discuss your concerns during an in-person evaluation by a board certified plastic surgeon.Best wishes...

What could cause the nose color to change after rhinoplasty?

Answers (5)

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