I got extensive primary open rhinoplasty done on my tip 8 months ago and while a lot of the swelling has gone, there is still residual swelling in the tip that tends to flare up with heat and activity. Is there a risk that this fluid will continue to accumulate and become solid scar tissue or will it eventually disappear over time? Thanks.
July 9, 2014
Answer: Residual swelling As a general rule swelling or post-operative edema can remain for a full year and in thicker skinned noses for up to two years in my experience. It takes time for the definiton of the underlying cartilage to show through the thickened tissues. As to whether this chronic edema can become scar, yes that is possible. One advantage of open rhinoplasty as you have described is the ability to achieve good hemostasis or control of bleeding. In addition I like to spray a thin layer of fibrin sealant (platelet rich plasma) to further reduce any build up of fluids between the skin and cartilage. Long term night taping will also be of benefit. Sometimes a judicious injection of low dose steroid will help to dissipate some of this swelling.
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July 9, 2014
Answer: Residual swelling As a general rule swelling or post-operative edema can remain for a full year and in thicker skinned noses for up to two years in my experience. It takes time for the definiton of the underlying cartilage to show through the thickened tissues. As to whether this chronic edema can become scar, yes that is possible. One advantage of open rhinoplasty as you have described is the ability to achieve good hemostasis or control of bleeding. In addition I like to spray a thin layer of fibrin sealant (platelet rich plasma) to further reduce any build up of fluids between the skin and cartilage. Long term night taping will also be of benefit. Sometimes a judicious injection of low dose steroid will help to dissipate some of this swelling.
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July 4, 2014
Answer: Nasal tip swelling The swelling at the tip of your nose will eventually resolve. This may take several more months. Scar tissue willl not be the result of swelling.
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July 4, 2014
Answer: Nasal tip swelling The swelling at the tip of your nose will eventually resolve. This may take several more months. Scar tissue willl not be the result of swelling.
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