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Rhinoplasty

What it is: A plastic surgery procedure to improve the appearance, proportions and structural functionality of the nose.  Rhinoplasty, commonly called a nose job, can enhance facial symmetry and harmony to improve the patient's self-confidence.  Breathing can also be improved as a result.

What it addresses: Specific aspects of the nose, such as:

- Nose size
- Nose width
- Asymmetry
- Nostrils

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Question

Can scar tissue from Rhinoplasty develop 15 years later?

Is it possible to develop scar tissue 15 years later after a Rhinoplasty? It must have been happening slowly, but this year, I've really noticed 4 bumps on my nose. I have had no trauma to the nose other than 1 surgery, 15 years ago. What can be done to treat this? If it is scar tissue, can I avoid surgery? Thanks.

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Asked by: Artsy Gal
Toronto, Ontario, Canada

Answers (3)

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1
November 3, 2008

Probably not scar, but your nasal cartilages showing as you age.

Toby G. Mayer, MD
Toby G. Mayer, MD
Board Certified
Facial Plastic Surgeon

As we age the skin thins and we can see the cartilages "suddenly". They were always there. This look can be modified with further surgery, but usually we can soften this with fillers that last up to a year and a half.

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2
October 31, 2008

Bumps on the Nose 15 Years After Rhinoplasty

Michael A. Persky, MD
Michael A. Persky, MD
Board Certified
Facial Plastic Surgeon

Hi Artsy Gal,

The skin of the nose actually thins for years following rhinoplasty, sometimes revealing underlying irregularities. What you are feeling in the upper third of your nose may be tiny boney spicules. In the middle third of the nose you may feel catilage irregularities, and in the lower third you may have bending of the lower lateral nasal cartilages causing "bossae". Lastly, there is the possibility of a cyst forming years after rhinoplasty. Most importantly, consult with your rhinoplasty surgeon, or an expert in nasal surgery to make an accurate diagnosis. The diagnosis will determine what the treatment will be. There are both non-surgical as well as surgical corrections available depending on what is causing your nasal bumps. Good luck and be well.

Dr. P

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3
October 31, 2008

Bumps are likely cartilage instead of scar

Sam Naficy, MD
Sam Naficy, MD
Board Certified
Facial Plastic Surgeon
Answer by Sam Naficy, MD

Bumps on the tip of the nose can appear years after rhinoplasty, as the skin of the nose gets progressively thinner with age.

These bumps (often called bossae) can be quite firm and are due to sharp bends on the nasal tip cartilages.

This condition can be corrected with revision rhinoplasty. For pictures and more information see:

http://seattleface.com/html/before_n_after_set.php?procedure=revision_rhinoplasty&id=12

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