Is This Synechium Scar Tissue After Revision? Does It Cause Swelling? (photo)

1st surgery was in Oct 2008. I had a silicone L-shaped implant inserted. I first noticed this weird nostril-blocking fleshy-thing sometime after the surgery. I ignored it because I thought it was inside of my nose anyways and no one is going to see it unless they look up my nose. Revision in Nov 2011. Implant replaced with ear cartilage. The fleshy nostril-blocking thing on my right nostril is still there. I found out it was called a synechium. Is this scar tissue? Does it cause swelling? Thx.

Doctor Answers 7

Scar Tissue Formation

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This band of scar tissue is indeed a Synichia and it can occur after any rhinoplasty or revision rhinoplasty surgery. If it is causing you to have nasal obstruction (decreased breathing from your nose), it can be treated. If it is not causing any symptoms, it is advisable to not treat it, since all surgical treatments have risks associated with them, and you must decide if the benefits outweigh the risks. I hope this was helpful to you.

Synechia Obstructing Nostril

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This is a band of scar tissue called a "synechia" which can be reduced or eliminated surgically. It probably does obstruct nasal air flow.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Scar Tissue After Revision

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This type of scar tissues can and do cause obstructive symptom and can be corrected with incision  ( laser vaporization is best ) and silicone sheet splint between cut areas for several days.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Is this a synechiae?

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It is a web which is scar tissue. Unless it is causing you breathing problems it requires no treatment.

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

Is This Synechium Scar Tissue After Revision? Does It Cause Swelling?

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  This appears to be a web along the top portion of the incision used in a Closed Rhinoplasty.  Rhinoplasty Surgeons sometimes don't close that section of the incision but I always do in order to prevent just such an occurrence.

Rhinoplasty Scar Tissue

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Your picture appears to show scar tissue in the nasal vestibule, probably extending into the internal nasal valve.  This is one of the most difficult complication to correct after Rhinoplasty.  However, release of the scar tissue followed by application of mitomycin might be helpful.

Scar tissue Inside Nose

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The"fleshy nostril-blocking thing" IS scar tissue bridging across the apex of the nose, in this case, near the nasal valve, a very important part of the nasal airway. These are quite challenging to get rid off and are best avoided.

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.