Why is My Nose Red and Broken out 2 Weeks After Rhinoplasty?

It is very normal to get redness of the nose and/or skin breakout after surgery. irritation of the nasal skin from tape which is used for nasal implant does often contribute to buildup of oil in the nasal skin and skin breakout. cleaning nasal skin with cleansers is the best treatment.

Redness and mild swelling are often related to a reactive dermatitis from tape adhesive.  When this is the case treatment with cleansing and hydrocortisone ointment is usually all that is needed.  There is a small possibility that the swelling may be due to infection and I would advise a visit with your surgeon to make sure all is well.

Your reaction to the tape (adhesive) placed after your nasal splint was removed sounds like an allergic reaction. This can be mild, and many of my patients have experienced this. Conservative care and careful skin washing usually solves this problem in a few days.

However, I have had a few rhinoplasty patients who have had a severe allergic response to adhesive, causing even worse symptoms than your describe. Oral Benadryl (antihistamine available without prescription), careful cleansing to remove as much of the offending adhesive as possible without further damaging your skin, and perhaps a mild topical cortisone cream (anti-inflammatory also available without prescription) will help this settle down. It might take a few days more, depending on the severity.

Cold compresses are probably not advised (ask your doctor) because you could overzealously cool and frostbite your nose, or have too much water absorbed into the damaged skin, exacerbating the damage and actually slowing the healing. Head elevation above heart level (put a sofa cushion below your mattress) will allow gravity to reduce swelling more than ice.

Bottom line: call your doctor--he or she has seen this before and will know what to do to most rapidly get you through this with the least likelihood of permanent skin scar or color change. Best wishes!

A broken out, red splotchy appearance on your nose may just be contact dermatitis from the glue in the nasal tape. You should show this to your surgeon, since you might benefit from topical hydrocortisone cream.

Good luck.

Dr. Joseph

The tape and adhesives can be very irritating to the nasal skin and breakouts are common after the splint is removed. Good cleaning and an astringent will help dry the skin without damage to your result. Sometimes a severe reaction or dermatitis can occur, and your doctor can advise you as to whether steriod creams will help.
Best of luck, peterejohnsonmd.com