16Jun/20

Fibrosis After Rhinoplasty And Other Healing Problems

As occurs after any surgical operation, after a Rhinoplasty, there are a series of healing phenomena that can last more than a year. The basic healing phenomena are common to all of us, but their development can be very different from one area to another in our body and from one individual to another. In this post, we will review the main healing problems, what is fibrosis after rhinoplasty, and how all this can influence the results.

The Healing Process After Rhinoplasty

  • – Immediate phase. It is the most immediate postoperative period, which usually lasts around a month and is characterized by the presence of inflammation. Think of inflammation as a sponge that has been soaked in water. The sponge is our tissue, and the water inside is the inflammation that will make our sponge “swell.”
  • – Intermediate phase. The medium-term postoperative period usually lasts about six months, during which the greatest inflammation (60-80%) occurs.
  • – Late phase. Between 6 and 18 months, the nose is finally deflated, especially the most superficial layers of the skin. The scars will gradually end their maturation and lose volume.

What Is Fibrosis?

We must consider scars as normal structures as a consequence of tissue repair when they are attacked. Normally we see the external scars from the surgeries, but we don’t see all the scarring processes under the skin. In liposuction, for example, the area of internal healing is huge if we compare it with cutaneous scars that can hardly be 1/2 centimeter. When the healing process involves “special effort” for damaged tissue and deposits larger or poorer amounts of scar, we usually call it fibrosis.

Other Healing Problems After Rhinoplasty

Although fibrosis is perhaps the main scarring problem that we can find after rhinoplasty, there are other less frequent problems, but they also need to be recognized.

The Abnormal Bone Drop.

Just as skin can heal abnormally, bones can, too. Unlike the skin, the bones heal in a somewhat different way, which is called the bone key. A bone loss is a normal consequence of bone healing either because it has fractured or because it has been cut (Osteotomies). But just as it can happen to the skin, the bone cay can end its healing process in an abnormal way or with greater volume than desired, sometimes causing alterations in the contours of the nose.

External Scars.

It is extremely rare that skin scars after rhinoplasty is abnormal. Patients with thick skin, sebaceous skin of smokers are at greater risk of developing hypertrophic scars.

Internal Scars.

Even more infrequently, the internal scars on the nose are abnormal. In these locations, these scars can most often “contract” or “retract” excessively, generating asymmetries or defects in the contour of the wings or the tip when improperly pulling or betraying the tissues around them.