My surgeon removed scar tissue near the tip on the right side of my nose and did a right side osteotomy to push the bone in. After the splint came off, my nose looked absolutely excellent. There was great symmetry, the bone was straight and narrow, everything was great. The first two days after the cast was removed, I was very happy. From the third day (today it has been 2.5 weeks since surgery), the swelling got really bad. How can I distinguish between swelling and scar tissue?
Scar Tissue Removal After 3rd Rhinoplasty. How to Tell if it is Swelling or Scar Tissue?
Doctor Answers 5
Swelling After Revision Rhinoplasty
It is very common to have swelling after Revision Rhinoplasty especially after the third time. There is a saying the "nose remembers" and in patients with trauma or multiple surgeries you will often see more post operative swelling. The splint helped in the beginning to keep the swelling in tact and after removal it is common to see more swelling. Keep away from foods with high salt content, exercise, excessive heat exposure, and sleep elevated with a few pillows behind you. All of these should help and then the best healer is time which is on your side. I can imagine with three revision procedures you are anxious so try and be patient and keep an open discussion with your surgeon so you may keep your mind at ease. I would suggest frequent follow up appointments to help with this process. Best regards!
Swelling versus scar tissue from a rhinoplasty
Swelling typically is more acute in nature occurring within the first two weeks of surgery. Scar tissue typically takes two to three weeks to develop. It sounds as if you may be in the grey area at this time so it would be difficult to give you a precise answer. I would discuss your concerns with your surgeon and follow his/her instructions accordingly. I am not sure if taping might help or not but you can ask your surgeon as well. Good luck.
Distinguishing Swelling From Scar Tissue
As a simple answer, scar tissue take some time to develop whereas swelling develops quickly and will subside as such relatively.
I advise you to be patient and to follow your surgeon's instructions, control your daily intake of salt, your exercise and protect your nose pretty well from any trauma.
Soon, swelling will subside as it is normal to develop it after the removal of the splints.
I recommend that you keep your surgeon in the loop of your progress.
I hope this helps and thank you for your inquiry.
The best of wishes to you.