Rhino Emergancy

hi its been a week sincee my revision rhinoplasty using a rib cartlidge strut. ive noticed where the internal stiches are that i can see something white. i think its the strut and that the incision hasnt healed or been closed properly. is this a issue? willi get an infection.

Doctor Answers 7

Rhino emergency.

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If you are looking up inside your nose and you see something that concerns you after your Revision Rhinoplasty, you should IMHO call and see your Rhinoplasty ASAP.

Cartilage grafts in revision rhinoplasty

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Although it is almost impossible to tell what you are seeing through the incision, it is quite possible that you are seeing the rib cartilage graft that was placed as a columellar strut.  This could be due to small breakdown in the incision closure or incomplete closure, and is more common with the placement of a fairly large strut.  While there is no reason for panic (since most of these exposed areas would mucosalize and heal by themselves), you should let your doctor know about this and come in for an evaluation. 

Rhino emergency

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This is something you should call and see your surgeon about. You should not be seeking advice on the internet for something you consider to need "emergency help". Your doctor can't help you if you are making posts instead of calling him or her.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

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Don't Panic!

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Many things can look white in the nose after revision rhinoplasty, including splints, packing material, or graft material. Rib cartilage tends to look a bit yellowish and not stark white, so don't panic! Graft extrusion (when the graft pops out) is fortunately very rare. Call your surgeon and tell him what you see. He/she will likely know what you're seeing and will know what to do.

Exposed cartilage?

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By what your describing, it is possible that you have exposed cartilage. Without an exam I could not be sure. You should probably contact your surgeon to be evaluated.

Seeing white at incision line

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You should call your surgeon to have what you're seeing checked out. It's hard to tell what's going on without examining your nose. You're right that having exposed cartilage would put you at risk to infection.

Revision Rhinoplasty

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You should contact your surgeon and communicate what you are seeing.  (S)he will likely have you come to the office for further evaluation.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.