Post Operative Fibrosis After Rhinoplsty

Question

i am 28yrs old now i had bulky nose and i underwent rhinoplasty on 2007 but i wasn't not satisfied with my nasal tip then again i underwent revision rhinoplsty on sep'2010 with another cosmetic surgeon. now i have thick fibros tissue on the tip of nose.its very hard on palpation.i didn't get this kind fibrous on my first surgery.i wasn't given any steroid inj in my revision rhinoplasty.will it get reduce with time. basically i have thick skin.

Peter E. Johnson, MD · Answer

There are many factors which ca contribute to a firm tip after rhinoplasty. Thick skin can be a cause, tip grafts are another. Also, with each revision it will take the tissue longer to soften and recover. If the nose otherwise looks well it is best to wait out the stiffness and avoid steroids. The tip will soften over time and 12 months may be a better time to judge.
	Best of luck,
	peterejohnsonmd

Mohsen Tavoussi, MD, DO · Answer

In my experience with many patients with thick skin who ahve rhinoplasty, specially revision rhinoplasty, need steriod injection to reduce scar formation. Thick skin needs aggressive defatting and thining in order to achieve adequate redraping of the skin. This in turn causes increase scar tissue formation that must be reduced with steriod injections.

Steven Wallach, MD · Answer

Stiffness after  rhinoplasty surgery is common and can take months or at least a year to resolve.  Good luck.

Erel Laufer, MD · Answer

Usually nasal stiffness subsides with time.On the other hand nasal fibrosis and thickness respond to certain degree to steroid injections..

Richard W. Fleming, MD (retired) · Answer

Healing can take much longer after a revision rhinoplasty, especially in patients with thick skin. I've seen this type of nose continue to improve for 18 months. Steroid injections may help - talk to your surgeon.

Post Operative Fibrosis After Rhinoplsty

Answers (8)