Is There Scarring After Rhinoplasty?

Is There Scarring After Rhinoplasty?

Rhinoplasty is a type of plastic surgery performed on the nose to reconstruct or enhance its shape, or improve nasal breathing. It can be used for cosmetic reasons or to repair the nose after trauma or congenital deformity. Some of the reasons for a medically necessary rhinoplasty include surgery for nasal trauma, a congenital defect, and breathing difficulties. Rhinoplasty is a common surgery, and many patients wonder if they will have lasting scars.

What is the Difference Between Open and Closed Rhinoplasty?

There are two types of rhinoplasty – open and closed. The defining feature between the surgeries is the incision approach. Open rhinoplasty involves a potentially visible incision on the columella (the fleshy, exterior-end of the septum of the nose between the lip and tip of the nose). There may be additional incisions inside the nose for the nasal correction. The incisions used a closed rhinoplasty are all inside the nose, so there is no scar created on the columella.

Closed rhinoplasty has a few benefits over the open surgery. There is usually reduced post-operative swelling (edema), less visible scarring, less risk of excessive reduction of the nasal-tip support, less inadvertent damage done to the nose, and less time needed for complete healing. However, open rhinoplasty provides the surgeon with a better view of the cartilage in the nose. The surgeon will usually also be able to better manipulate and alter the shape. Whether a patient receives open or closed rhinoplasty will depend on the reasons the surgery, the anatomy of the nose and surgeon preference.

Will There be Scarring?

Most surgery creates some type of scarring, and rhinoplasty is no different. The good news is that in most cases, an uncomplicated surgery will lead to minimal visible scarring. Since a scar is created on the columella, there is far more potential for visible scarring with open rhinoplasty than with closed rhinoplasty. However, even in open rhinoplasty, the incision is typically very small and tends to heal well, making it a very small scar that most people will not notice.

Preventing and Treating Scars

Before you undergo rhinoplasty, discuss the after-surgery care and issues with your surgeon so you will be prepared. It may take a few weeks for the skin to heal and it might a year for the before the nose is completely healed. Proper post-op care is essential with any surgery so make sure you fully understand all the post-op instructions including how to best take care of your scars. After the incision is healed and your sutures have been removed, start using a topical scar treatment to reduce scarring as much as possible.

Have a question about your scar? Leave a comment and we’ll be happy to answer!

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The information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. Please speak to your doctor to treat any medical condition. Information on this site is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment.
Do’s and Don’ts of Scar Prevention

Do’s and Don’ts of Scar Prevention

Scar tissue is a normal part of the skin’s healing process from any wound, including those caused by surgeries or accidents. Scars form because the collagen production works quickly after the skin has been wounded to mend the injury and protect the body from any further injury or infection. Since it goes through a more rapid healing process, the tissue does not have the exact same makeup of normal skin cells, which is why it looks different. (Read: Why Scar Tissue is Different from Normal Tissue.) Many variables influence the look of scars, including the size, depth and shape of the wound, as well as how much blood is able to visit the area during the healing process. Luckily, there are easy prevention methods to ensure that your injury or surgery does not end with a lifelong reminder in the form of a visible scar.

Do Get Stitches

Deep wounds, or cuts that can spread apart, heal faster and better when stitched by a professional doctor as soon as possible after the injury. Stitches minimize the wound area and make it easier for the body to heal the injury. This reduces the area of new skin forming, which minimizes the amount of scar tissue.

Do Protect the Wound

When you have a wound, you should keep it moist to prevent scabbing and allow the healing process to commence by applying a first aid cream like Neosporin. You should also keep it covered with a non-stick bandage to protect further injury and keep it from drying out. Once you see new skin forming, you can stop covering it with a bandage and begin applying your scar treatment.

Read: What Affects Wound Healing?

Do Massage the Scar

Gentle massage should start as soon as it’s tolerable, usually a couple of weeks after the skin has healed over. Massaging your scar breaks up the collagen and reduces the size of scar tissue forming; use the time when applying your scar treatment to massage the newly formed scar.

Read: How Do You Soften Scar Tissue?

Don’t be Impatient

When you wait for your injury or wound to heal, be patient. You should not pick at any scabs or use hydrogen peroxide. Although hydrogen peroxide provides beneficial first aid to the initial wound, subsequent use kills both good skin cells as well as bacteria making the wound more susceptible to infection. Instead, just allow the body to heal naturally. It takes 1-2 years for a scar to fully mature and there is no quick fix despite what you’ve heard.

Don’t Linger in the Sun

The damaging ultraviolet rays of the sun can interrupt the healing process, making it more likely that you will develop a scar. Additionally, UV rays discolor the scar tissue by stimulating pigment-producing cells. Skin is more vulnerable to discoloration when it is healing, so it is even more important to protect the area from the sun by covering it up with clothing or using sunscreen.

Have a question about your scar? Leave a comment and we’ll be happy to answer!

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Scar Tissue After Surgery

Scar Tissue After Surgery

Scar tissue is a natural part of the body’s healing mechanism. When any part of the body receives an injury, it will work quickly to heal the injury. This repair process creates scar tissue. Scar tissue acts differently than normal tissue, and it may contain damaged cells, which is why it looks different than the tissue around it. Although most people think scars only affect the skin’s surface, scar tissue can also occur on any tissue in the body, including internal organs.

Although it is part of the healing process, scar tissue may end up causing problems, especially when it leads to adhesions. For most people, scar tissue causes most problems on the skin itself by leaving a life-long reminder of the surgery. By knowing what to expect after surgery, you can minimize the appearance of scars and other potential complications, including helping to reduce the time a scar takes to fade.

Scar Tissue on the Skin

Surgery typically includes an incision of the skin, usually extending through all the layers of the skin. Surgeons try to minimize the size of their incisions to reduce the amount of scar tissue that develops. The main factors determining the amount of scarring after surgery, beyond the skill level of the doctor, are age, race, genetic makeup, the size and depth of the incision, and the extent of the surgery. Initially, scar tissue will be pink, red or purple, due to the injury to the blood vessels and the inflammatory response that is part of the body’s reaction to any injury.

Over time, as the skin heals, scarring will fade and become closer to your skin’s natural pigmentation. However, many scars also turn white due to damage to the cells that control pigmentation. After surgery, the incision area will be sensitive and weaker than normal skin, so you should rest and avoid any movement or stress that could place too much stress on the healing incision.

What are Adhesions?

Although most people only focus on scar tissue after surgery on the skin, surgery can also cause internal scar tissue called adhesions. An adhesion is scar tissue that binds together two pieces of internal tissue or organs, even if they are not supposed to be connected. This distorts the normal internal anatomy, which can then cause problems.

The most common areas of adhesions are in the abdomen, heart and the pelvic area. Almost 93 percent of patients who undergo any type of pelvic or abdominal surgery end up with adhesions. Adhesions can be thin sheets of the tissue that may look similar to plastic wrap or strong, fibrous bands that can cause serious complications. Most adhesions are harmless and will go away on their own, but some adhesions can lead to complications and further problems.

How to Minimize the Appearance of Scars

Although doctors do everything they can to minimize any scar tissue, there are some actions you can take to prevent or minimize their appearance. Scars develop as part of the body’s natural healing processes. The faster and more efficiently the body heals, the reduced risk of scarring, or the faster it will take for the scar to go away. By avoiding smoking and drinking, eating a healthy diet, and staying hydrated, you will provide the body with the best foundation to heal properly. You should also practice proper wound care, which includes keeping your fresh scar covered and out of the sun, as well as following all your doctor’s instructions. It takes time for the skin to fully heal and for the scar to mature and look its best, often up to a year or even two. By taking appropriate care of your fresh scar and yourself, and using a good scar minimizing cream once the skin has healed, you’ll give your scar the best chance of fading.

Do you have a question about your scars? Leave a comment and we’ll be happy to help.

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Scar Healing Time

Scar Healing Time

If the trauma is minor, healing time for the wound should be quick, and scar formation minimal. If your scar is deeper, as is often the case with surgical scars, healing time will take longer. However long it takes, a scar goes through three stages of healing. The first phase of wound healing is a period of inflammation that may last anywhere from two to six days, depending on how severe the initial trauma. During this period, you’ll experience warmth, some redness, swelling, and pain.

When the initial trauma spot begins to subside and ceases inflammation, your skin begins to produce collagen to knit the edges of the wound or trauma area together. This is the period when scarring may develop. Most scars start to improve within 2 – 3 weeks, and will continue to improve for up to six months. Finally, your skin will continue to break down the excess collagen that created your initially raised and reddish scar, and turn it into a thin, flat scar that may be visible or almost invisible. This period take from six months to several years with the finalized appearance of your scar in about 1-2 years.

Read: How to Help Your Skin Heal Scars

It’s important to respond to a wound or trauma to your skin immediately, even before healing begins. If you’re a smoker, stop! It causes blood vessels to contract, decreasing healing oxygen to the body and skin. Avoid direct sunlight while your skin heals. This may seem impossible, but it is necessary! When your skin is fully knit together, begin exercising regularly. Exercise will increase oxygen to all of your body tissues, including the deep levels of your skin. Your scar will heal more quickly, and your body will be healthier, too.

If you haven’t been eating properly, now is the time to rethink your eating habits. A balanced diet is very important to proper scar healing. Try to get the most nutritional foods possible into your system, especially foods rich in Vitamin C. Be sure to include protein-rich foods for the collagen your skin needs to heal properly, and increase your Vitamin B and zinc levels, too. Eat plenty of foods rich in Vitamin A to enhance your skin’s ability to absorb moisture, and drink plenty of liquids.

Most importantly, stay out of the sun and apply a sunblock with SPF 30 to ensure total protection when you go outside. At the same time, begin applying a scar healing cream to your traumatized skin or scar, as soon as your skin has completely closed up. For instance, if you have a surgical scar, laceration or burn that required sutures, use InviCible Scars on the area as soon as the sutures are removed. If you’ve had a skin resurfacing, wait until there is no “rawness” before beginning to use Invincible. For scars or dark marks from acne, apply InviCible at least twice a day, directly on the affected areas, but not on active acne spots.

With proper exercise and nutrition, avoidance of the sun and application of InviCible Scars, your scar will heal beautifully, and more quickly than you might think.

Have a question about your scar? Leave a comment and we’ll be happy to answer.

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How to Get Rid of Liposuction Scars

How to Get Rid of Liposuction Scars

When you choose liposuction to smooth the appearance of your skin, you obviously want the most natural outcome possible. Unfortunately, the process of liposuction can and will leave behind scars. In order to minimize their appearance, and to prevent them from becoming worse than they could – or should – be, it is important for you to take proactive steps towards promoting scar healing. Though the incision site for a liposuction procedure will be smaller than that used by other procedures, it’s important to treat the site of the incisions you receive with the same care as you would the incisions left behind by any surgical procedure.

This process begins before you even head in for liposuction. Drinking plenty of water may not hydrate your skin, but it’s still important for overall health and to be as healthy as possible when heading into surgery. Likewise, ensuring that you are eating a healthy diet filled with the proper vitamins and nutrients, such as zinc and copper, can help to promote the healing of your scars through the development of the collagen required for the formation of healthy scar tissue. It’s also important to ensure that you are not smoking for at least 6 weeks prior to the procedure, as well as for 6 weeks immediately following it, as smoking can slow down the healing process and lead to worsened scars.

Ensuring that your liposuction scars heal fully and with a minimal amount of damage does not end once you have the procedure, though. It’s important to give them the proper aftercare immediately following the procedure, as well as for several weeks afterwards, until the scars themselves have begun to fade. Using a topical treatment that contains natural Vitamin C can offer you a tremendous boost to the healing of your scars. A treatment such as this will need to be used on a regular basis, as the body does not naturally store Vitamin C, so keep this in mind. Keeping the scars moisturized with a treatment such as that offered through ingredients like dimethicone silicone can also be important.

Though you might think that clothing is enough to prevent damaging exposure to the sun, remember that UV rays can travel through clothing, so making use of a sunscreen with appropriate UVA and UVB protection. It goes without saying that you should use at least an SPF 30 if you plan on heading to the beach or the pool at any time in the months following your liposuction procedure.

If you take the proper steps, you can vastly minimize the appearance of liposuction scars. Because they’re small to begin with, you can prevent them from being very noticeable at all. The important thing is to be proactive in the treatment of your liposuction scars and in the treatment process.

Do you have a question about your scar? Leave us a comment and we’ll be happy to answer.

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