Skin Irregularities on The Nose After Nose Job

Collapse, Irregularity, Color Changes and Pitting on Nose Skin After Rhinoplasty

Skin Irregularities After Rhinoplasty, Color Changes on The Skin After Nose Job, Pitting on Nose Skin, Collapse on Nose Skin After NOse Aesthetic Surgery

During the rhinoplasty operation, various operations are performed on the skin and subcutaneous tissue, cartilage structure and bones. Depending on the tissue dissection performed during the rhinoplasty operation, the skin incisions made, the suture materials used close to the skin, the use of electrocautery and the drugs used on the skin, the following problems may occur on the skin after the rhinoplasty operation:

- irregularity
- color changes, darkening
- pitting
- crash
- flowing foci of inflammation

These skin complications, which I have shared with you here, are usually seen after revision rhinoplasty operations and the probability of being seen increases after repetitive surgical procedures.

Skin irregularities after rhinoplasty

Although it is more likely to be seen especially after revision rhinoplasty; During rhinoplasty operations, skin problems may occur due to the following skin-related conditions:

Skin pitting, collapse

The photo above belongs to a patient who had undergone rhinoplasty twice in a different clinic, and as seen there, inward dimpling of the nasal skin may occur due to the following reasons:

- sxcess subcutaneous tissue excision for the purpose of thinning the nasal skin
- very thin removal while dissecting the nasal skin
- circulatory problems and healing problems in the nasal skin (may be due to repeated surgery and skin dissections; may be due to excessive radiofrequency application)
- when there are non-absorbable sutures under the skin, skin collapse and color changes may occur in the early period and inflammatory discharges may begin to appear from the skin in the late period (you can check the video below)

Darkening color changes on the skin of the nose

Sometimes the bruising that occurs due to the leaking blood under the skin after the rhinoplasty operation may remain as a color change for weeks and may disappear. However, sometimes very long-lasting color changes may occur due to subcutaneous healing problems or ocal subcutaneous infections. In some patients, there is no problem in the nasal skin in the early period; After months, skin color changes and roughness can be seen. This is more likely to occur in revision rhinoplasty.

Intermittent inflammation and discharge on the skin of the nose

Especially with permanent (non-absorbable) suture materials, various foreign body reactions and inflammatory discharges can be seen due to sutures placed close to the skin. Normally, when reactions due to non-absorbable sutures occur, these suture materials become superficial and are expelled from the skin. If these suture materials are fixed to the cartilages in the deep tissue, foreign body reactions and inflammatory discharges from the skin may occur intermittently before the suture can be removed from the skin. In the video above, it can be seen that the local anesthetic drug injected before the operation spurts out of the skin from these areas and these suture materials are detected in areas with inflammatory discharge during the operation.

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon

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