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Red tip 1.5 years after revision rhinoplasty with rib graft, necrosis or rosacea? (Photos)

Meganfr3shNov 11, 2023
had a revision rhinoplasty in march 2022 with a rib graft. The tip of my nose became very red this summer and has not gone away. The skin also peels. It also seems to get worse when I’m hot. I wear sunscreen and my surgeon said it should go away in time. Is it necrosis or rosacea? I’ve also tried bbl laser to help and it hasn’t. Some days it’s worse than others but seems to get more red throughout day. Pictures I’m posting are in morning with little redness but gets bright red later

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Nov 14, 2023
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Eric M. Joseph, MD

The most conspicuous irregularity at the base of your nose is an indentation at your right soft tissue triangle. Depending on your examination, This may be filled permanently with microdroplet Silikon-1000. I suspect you may have more issues about your nasal appearance. If that is the case,...

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Lexie Wang, MD

Hi gentle. It dpeends on what the cartilage is being used for and how much you need. Rib cartilage is much stronger and obviously a lot straighter than ear cartilage but it is also a bigger ordeal. If you don't need much cartilage or if it's used for a curvy area, then ear cartilage can be great.

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You absolutely still have swelling at 6mo- in fact, patients report they still see changes to their nose even 3-5 years after surgery. the risk of doing the surgery too soon is that your nose has not had enough time to recover from the first surgery, meaning that you are putting the skin at risk...

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