Just Got Rhinoplasty Done 6 Days Ago. Why Are my Nostrils Different Shape and Size Now?

I have been picking at scabs and blood in my nose can that effect the shape and size of my nostrils? Because when I first got m rhinoplasty they were completely perfect nostrils and size.

Doctor Answers 5

It is too early to judge t!

The very important rule with rhinoplasty procedure is not to touch anything till the cast gets removed from your nose. You should not be picking and removing any scabs at this point. You definitely should follow up with your surgeon. Please schedule the appointment and I am sure  he will be happy to clean your nose and remove any old blood residue. You do not want to compromise your surgery results by being reckless. The recovery process is crucial and you should follow your surgeon’s instruction. If you not sure what to do, it is better to make a phone call and talk to the office nurse or your surgeon directly.

Chicago Plastic Surgeon
4.5 out of 5 stars 61 reviews

Different nostril shape 6 days after rhinoplasty

It is a good idea to stop picking your nose as it is not fully healed and you may disturb the sutures and cause more problems for yourself in the future.  The asymmetry now is mainly because of the swelling, crusting, etc which should resolve with time. And the fact that the nostrils were symmetric right after the surgery also speaks for it.  Just be patient.

Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 30 reviews

Picking scabs and blood after rhinoplasty is not recommended and CAN change your results.

Your surgeon likely told you this is not a good thing, since healing wounds can be re-injured and superficial infection or increased scarring result. Scars pull and distort tissues, so this could be affecting your nostril appearance. Over time, scars (unless they are excessive) do soften and settle and stretch, so this may not be a long-term concern.

Unless your surgeon actually performed Weir excisions to decrease the size of your nostrils (and did so differently on one side or the other), nothing has been added or taken away from the actual nostril openings themselves, so internal scar tissue is the only potential affecting issue.

Don't add to scarring by picking! You don't need to talk to your surgeon to find this out--you already knew it, but for sure do now! Best wishes! Dr. Tholen

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 255 reviews

Picking Nasal Scabs After Rhinoplasty

Dear Biannca,


Picking at scabs and blood in your nose at 6 days after your rhinoplasty may have affected the results of your surgery so it is best that you stop doing so.

I recommend that you open up to your surgeon and let him/her know of what you have been doing.

Thank you for your question and the best of luck to you.

Dr. Sajjadian


Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews


Your surgeon will want to talk to you about "picking" after your rhinoplasty.  Call the doctor right now and explain what is going on.

Robert Shumway, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 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.