What could this spot on nose be, after rhinoplasty? (Photo)

Question

This was my second rhinoplasty. After surgery my tip was a little purple and I developed this spot near my incision. The spot was red, it didn't spread, and eventually scabbed and came off. The discoloration in the tip also went away. It was all gone by maybe 3ish weeks I'm needing a third surgery and I'm worried about what this spot could have been and if it's caused from poor blood supply. Thank you

Eric M. Joseph, MD · Answer

The way you describe what happened, I suspect you are correct that this could be a small area of vascular compromise. Thankfully it healed well. You should make sure that your desire to do a third nasal surgery is well thought out. Since if a third surgery makes things worse, that would be a bad place to be. Thank you for your question. Sincerely, Dr. Joseph

Gianfranco Frojo, MD · Answer

Yes, that appears to be a spot of a partial skin injury from inadequate blood flow to that skin (columellar flap). These usually heal without an issue. I recommend informing your original surgeon immediately. Sometimes hyperbaric oxygen can assist in facilitating the healing process.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! It very well could be a bruise or an area of vascular compromise. If another surgery is needed, nanofat and hyperbaric oxygen may be worthwhile prior to open the skin again.

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