What is this redness after revision rhinoplasty?

At six months after revision rhinoplasty, most of the healing, softening, and swelling resolution has occurred, but you may still see subtle changes for up to a year. Residual redness in the lower 2/3 of the nasal skin can be related to the surgical changes in the skin's circulation--by now this is probably relatively stable and unlikely to improve dramatically, even with further passage of time. Or, you may also have had early or undiagnosed Acne Rosacea that has either flared following your surgery, or simply become more visible at this time totally coincidental to your nasal surgery. In either case, consultation with a Dermatologist may provide topical or oral medications that can provide improvements in about half of cases. I'd start here.

If this is unsuccessful, then IPL or pulsed dye laser treatment by a qualified and experienced laser surgeon can dramatically improve the redness (due to dilation of the superficial capillaries in the skin), often with just one or two treatments, and regardless of the cause! This is your second step! Good luck!

 

Persistent nasal skin discoloration can occur after rhinoplasty. Reddish-purple discoloration as well as slow capillary refill (blanching of the skin with pressure followed by a very slow return of the pink color after the pressure has been removed) that alters with temperature can signify altered and compromised circulation in the nasal skin. Over time, the discoloration should slowly improve and in many instances will eventually return to normal. It is hard to say just how long it will take but typically a year or more is needed to allow the tissues to heal.

If the vascular changes are still present at one year you may wish to try IPL or YAG laser treatments - these will reduce the vascularity and redness of the skin