Keloid scars after rhinoplasty
Although scarring is so rare after rhinoplasty, this problem is one of the most worrying complications of this type of surgery for all patients. These bumps (Keloid scars after rhinoplasty), which form in various forms, can occur due to the lack of proper healing of the wound site.
In fact, after rhinoplasty, the body tries to heal and repair wounds and incisions caused by surgery by proliferating cells in the affected areas. If the proliferation of these cells on the wound will be more than enough, it can cause scar or excess skin in that area. A scar which results from improper repair of wounds is called “keloid”. Here we try to describe various cases such as the causes of scarring and the ways to treat it.
Nasal Scar Types
Scars can be created in different ways. Some types of scars disappear completely over a short period of time, but others may require treatment and even surgery to eliminate them.
- One of the rarest conditions for scar is when the patient’s body is naturally prone to producing keloids. These people usually develop keloids at the site of the injury or cut.
- Another condition that may cause scar after rhinoplasty is that the sutures remain and stand out. Usually in rhinoplasty, the suture is at the edges of the nose or inside of it, and we see this type of scars in these parts.
Fortunately, suture scars usually go away completely after a short time and do not require special treatment.
- Another form of scar is common in patients with a fleshy nose. This condition can also occur due to a doctor’s lack of experience in this subject and will require some steps to become treated.
Factors affecting the creation of Scars
There are two main factors that contribute to the formation of scars after rhinoplasty:
Scarring can be more likely to occur in some people of a particular race or ethnicity. Such problems are more common in patients whose skin has more pigment, such as Asians or Africans.
Skin type and color
Wounds usually take longer to heal in people with darker and thicker skin. Due to their skin type, these people may also develop acne on the skin around their nose after rhinoplasty.
Prevent Scaring during Rhinoplasty
Here are some helpful ways to prevent scarring on and around your nose after surgery that can dramatically reduce or even prevent the problem:
- No exposure to sunlight: Sunlight changes the color of scars and in addition to making them more visible, causes them to stay on the skin longer.
- Rapid treatment of infection: Note that if the infection remains on the wound, the scar is more likely to prolong and it may turn it into a keloid. As soon as you notice a severe infection, treat it immediately.
- Massage: Massaging the affected areas can increase blood flow and cause faster healing of wounds. However, consult your doctor before performing any massage, otherwise the wrong massage may make the situation worse.
- The effect of the surgical method: Usually in closed rhinoplasty, it is less likely to encounter any scars or keloids, because no external incisions are made on the nose during surgery. Hence, in people who are prone to keloids at the site of incisions or wounds on their body, closed surgery is usually recommended, because in this method all the incisions are made inside the nose and the inner skin of the nose is not prone to the formation of keloid.
- Preventing scars at the suture site after rhinoplasty: scars at the suture site can be related to factors such as the type of nose and skin color. Also, full observance of tips and postoperative care can be one of the most important issues in preventing such complications.
- Surgeon’s skill in preventing scar: An experienced surgeon, with skill in rhinoplasty techniques and attention to the skin type of people and care after rhinoplasty, prevents the occurrence of scars and keloids after surgery. The surgeon must be very careful when cutting and suturing the nasal fins because in rhinoplasty, making changes in the nasal fins is very important and the nasal fins are one of the most sensitive parts in this type of surgery. People with fleshy noses are more likely to develop excess meat because they have more adipose tissue and muscle in the nasal area. Therefore, people who have a fleshy nose should be very careful in choosing their nasal surgeon. An experienced and skilled surgeon performs surgery and suturing with great skill and delicacy to prevent scarring and keloids formation after rhinoplasty.
Methods of treating scars after rhinoplasty
Here are some practical ways to treat scars on your nose after rhinoplasty, which you can use depending on your condition:
- Using ointment for scars on the nose: After nose surgery, some people may develop sores around the nostrils, which also causes scarring around or inside the nose. To prevent this problem, you can use wound healing ointments prescribed by a specialist. The way you massage the spot with ointment is very important to achieve the better result, and it should be done at least for 2 or 3 minutes. Research has shown that long-term use of some ointments, such as vitamin E and triple antibiotics, may cause skin allergies. Therefore, for better results, you must listen to your doctor’s advice.
- Using steroid injection: Another effective method in the treatment of scars after rhinoplasty is repeated injection of steroid by a specialist. This should be done at regular intervals after rhinoplasty. Steroid injections can reduce the amount of itching and scarring and, over time, eliminate scars and excess skin.
- Scar treatment inside the nose using Laser: One of the best ways to reduce the volume or redness of scars after nose surgery is to use laser therapy. Usually laser therapy completely treats the scars or keloids in just three sessions, but sometimes the number of sessions may increase or decrease depending on the patient’s condition.
- Performing surgery to remove scars: If none of these methods are effective in removing the scar in the patient’s nose, revision rhinoplasty should be performed to remove it. To do this, the doctor, after a thorough examination of the patient and diagnosis of surgery, determines the appropriate time for this operation and the patient undergoes revision rhinoplasty.
In rhinoplasty, sometimes after a while, the patient may notice the presence of a scar in his nose. This problem can be caused by incisions for changes in the nasal fins or a large reduction in the width of the nasal fins.
This complication is more likely to occur in fleshy noses that have wider fins, and here it is very important to choose an experienced surgeon who is familiar with the latest techniques in the world.