Will there be scarring on the nasal septum after rhinoplasty?

Jan 25, 2025 Source: Cainiu Health
Dr. Chen Lu
Introduction
Whether scarring remains on the nasal septum after rhinoplasty mainly depends on the size of the incision and postoperative care. If the incision is relatively small and proper postoperative care is provided, scarring may be minimal. However, if the incision is large or postoperative care is inadequate, scarring may occur. It is recommended to undergo rhinoplasty at a professional plastic surgery hospital to ensure safety. Additionally, regular follow-up visits after surgery are advised to promptly address any issues.

Generally speaking, rhinoplasty refers to nasal augmentation surgery. Methods of rhinoplasty include implant augmentation, costal cartilage grafting, hyaluronic acid injection, and autologous fat transfer. These procedures mainly involve augmenting the nasal dorsum with autologous tissue, allogeneic tissue, or tissue substitutes to improve the nasal contour. The general reference price for rhinoplasty ranges from 3,000 to 8,000 yuan per session, and visible improvement is typically observed within 1–3 months, although symptoms such as redness and pain may occur. Whether the nasal septum will scar after rhinoplasty mainly depends on the size of the incision and postoperative care. If the incision is small, scarring may not occur. However, if the incision is large, scarring may result. If discomfort occurs, prompt medical attention is recommended. Detailed explanation is as follows:

If the incision made during rhinoplasty is small and located at the inner edge of the nostril, the incision site is well-concealed, and proper postoperative care is performed without wound infection or inflammatory reaction, scarring of the nasal septum typically does not occur. Generally, symptoms will gradually subside within 3–10 days, and the nose will return to a natural appearance. However, exposure to ultraviolet light should be avoided to prevent irritation of the healing wound.

However, if the incision made during rhinoplasty is large and located on the outer side of the nostril, improper postoperative care may lead to wound infection and symptoms such as redness, swelling, bleeding, and pain. These complications may cause melanin deposition and result in scarring on the nasal septum. In such cases, medications such as asiaticoside cream, compound sodium heparin and allantoin gel, or multi-sulfated polysaccharide cream may be used as directed by a physician.

To ensure safety and minimize adverse reactions, it is recommended that rhinoplasty be performed at a professional cosmetic surgery hospital. Additionally, regular follow-up visits are necessary after surgery for timely monitoring and intervention if needed.

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