Internal scarring? Post rhinoplasty

Question

I had open rhinoplasty 2 months ago. There was silicone implant for bridge augmentation and my own cartilage at the tip. My nose is healing well, but tip is very bulbous and has hardened. Is this internal scarring that's formed? I know I'm supposed to wait, but if it's scarring, should I do something about it sooner than later? What would my options be, do you suggest implant removal, or steroid injection? Would that really help, and by how much?

Jamil Ahmad, MD · Answer

I have to start by saying you look great! 
At two months in to your recovery you can expect that the body
is still healing and there will still be swelling present. A final result
following a rhinoplasty surgery can generally be expected after a full year of
recovery, so your swelling and the bulbous feeling you’re experiencing is expected
to decrease with time. 
There are many scar therapy gels available to help break
down scar tissue and even out the pigmentation following surgery, but this will
be quite difficult inside the nose. Follow up with your plastic surgeon for
suggestions on how to you can address your scarring. Every surgeon has their own
guidelines for post op care. 
I trust that with time, the swelling and scar tissue will
resolve. 
All the best,

Eric M. Joseph, MD · Answer

Especially with thicker skin types. We do not inject steroids in the tip for expected swelling that gradually dissipates. Your result looks terrific! Digital photos rarely tell the whole story, so if you’re concerned, schedule a follow up visit with your surgeon. Hope this helps! Dr Joseph

Kimberley Rutherford, MD · Answer

Unfortunately, the nasal tip takes quite a while to heal. At this point in time, it is normal to still have swelling of the tip with the nasal tip feeling fairly hard.  With time, you will noticed that the nasal tip will soften as swelling resolves. It takes a full year for a rhinoplasty to completely heal.  You look great, but if there are any concerns you should follow up with your surgeon.

Somyos Kunachak, MD - Account Suspended · Answer

hi jocean11, It generally takes 6-12 months to see the final result of  a rhinopolasty procedure and during that time, you may still see reduction on your nose tip. Steroid injection can be used to reduce the thickness but it is also not advisable without proper evaluation.

Internal scarring? Post rhinoplasty

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