I Have a Red Dot on my Bridge, Will This Go Away After Rhinoplasty? (photo)

I am not sure what that red spot is. Under magnification of your photo I see a scab with some surrounding red skin. Spider angiomas typically have a central red dot that supplies the blood to surrounding spider leg like small skin surface blood vessels. When you apply pinpoint pressure on the red dot the small blood vessels empty and become less visible. The spider angiomas are best treated with a laser. Both spider angiomas or whatever else you have will not improve with rhinoplasty alone. If it is a spider angioma and you are planning on having a rhinoplasty you should have the rhinoplasty first and then get the laser treatment for the angioma when you have recovered from the rhinoplasty. Rhinoplasty surgery can result in nasal skin surface telangiectasias that would also be amenable to the same laser.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Hi PetiteGalvan,

Without examining you in person and palpating the area of concern, it is difficult to say with certainty what we are dealing with. However, if when you feel that area, you notice a bump or prominent piece of bone under the skin, it is possible that a rhinoplasty may improve this. However, my guess is that there isn’t an underlying bony issue and that the discoloration is only on the skin and is vascular in nature. These can often be treated quite simply with a laser. However, given your complexion you will need to make sure you see a physician who is well-versed in lasers in various skin types, in order to avoid scarring or hyperpigmentation. If you decide to have the rhinoplasty, I would recommend having the surgery first and then the laser after the skin has healed adequately from the surgery. Hope this helps! Good luck!

Dr. Sunder

When my rhinoplasty patients have certain vascular skin lesions, I may elect to cauterize them, to minimize their appearance, at the end of surgery. If you would like to diminish the appearance of this red spot, you may want to consult a reputable dermatologist or facial plastic surgeon for definitive treatment. In my practice, certain red vascular malformations are treated with IPL, or more commonly, using the Hyfrecator and a needle tip: this is a simple electrocautery device similar to what we use in the OR.

If you want to improve the appearance of your crooked nose, then consult several reputable nose job surgeons, and ask if the red spot could be cauterized at the end of surgery.

Hope this helps.

Dr. Joseph

Looking at the photos provided, the red spot appears to be due to an abnormal collection of fine blood vessels near the surface of the skin. This type of abnormality is separate and unrelated to the underlying structure and shape of your nose. I would disagree with the opinion rendered by your rhinoplasty surgeon that it will go away as a result of the surgery. Reshaping the nose would have little effect if any on the blood vessels in the skin. This would require evaluation and treatment by a physician versed in managing this type of skin condition. This would like involve use of a laser that can specifically target the blood vessels. 

This appears to be a vascular malformation such as a spider angioma that can be treated either with a laser or very fine electrocauterization. It is unlikely to improve or disappear with a rhinoplasty so don't depend on this being a solution. What you can do is undergo a rhinoplasty to improve the appearance of your nose and if this is still present after surgery, later on you can have it addressed with one of the 2 above mentioned techniques.