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Cosmetic Surgery (Expert Forum)
postrhinoplasty concern
Answered by
Howard Rosenberg, MD - Cosmetic Surgery
Accent on Aesthetics Plastic Surgery Medical Center
Questions in the Cosmetic Surgery forum are answered by Dr. Howard Rosenberg. Topics include bariatric surgery reconstruction, breast augmentation, chemical peels, cosmetic or reconstructive surgery, face lift, nose reconstruction, and tummy tucks.
postrhinoplasty concern
by michelle950, Jun 27, 2008 08:33PM
Hi, I had septorhinoplasty (open) 3 months ago for a deviated septum and collapsed nasal valves, as well as cosmetic touchup. Inside one of my nostrils towards the tip of the nose, I can feel by hand a large bulk of cartilage, and I can also see it when I lift the nostril outwards. My surgeon told me that that was the cartilage incision site, and sometimes depending on how people heal it can protrude in such a way following the surgery. She told me it should subside, but it hasn't, and I don't see how cartilage can subside. She mentioned a follow up procedure maybe needed to properly place the cartilage.
What is your opinion? Is this a common occurrence? Is it surgeon's error or is it due to unusual healing? Can it subside? And is there anything that can be done to fix it aside from surgery? Or is it ok (functionally and structurally) to leave it as it is, even though it makes me feel uncomfortable?
Many thanks,
Isil
What is your opinion? Is this a common occurrence? Is it surgeon's error or is it due to unusual healing? Can it subside? And is there anything that can be done to fix it aside from surgery? Or is it ok (functionally and structurally) to leave it as it is, even though it makes me feel uncomfortable?
Many thanks,
Isil
Doctor's Answer
by Howard Rosenberg, MD, Jun 30, 2008 11:59AM
, Jun 30, 2008 11:59AM
Your surgeon is correct, the lump you see and feel is scar tissue along the incision. The cartilage in that area is quite thin and unlikely to produce what you feel. At three months the scar tissue is not completely mature and the lump could easily resolve. If it is present in another three to six months and still troublesome to you, then additional minor surgery would correct the problem. Although sometimes steroid injections will diminish scar tissue, I doubt that this non-surgical solution will be helpful.
