Methods of correction of keloid scars after rhinoplasty
Correction of the shape of the nose is a popular aesthetic procedure in plastic surgery.
Sometimes, due to its poor quality, correction of keloid scars may be necessary to eliminate possible unpleasant consequences for the patient’s health and well-being. Such manipulations after rhinoplasty can be carried out in various ways.
Correction of the shape of the nose implies the process of dissection of tissues for further correction of their location.
After the operation is completed, the incision site with poor processing has the ability to bleed, which subsequently can cause scarring of the dermis. At the site of scar formation, a scar forms after a while.
The very first cause of the formation of scars is the wrong surgeon with little experience or repeated unsuccessful practice of correcting the shape of the nose. You should be aware that only a highly qualified specialist is able to achieve the desired aesthetic result.
The next item on the list of causes of the appearance of scars is ignoring the medical recommendation during the rehabilitation period and skipping the scheduled examination.
The appearance of a scar after nose correction is due to the type of operation. Rhinoplasty is open and closed.
Rhinoplasty of the open type is carried out by an external incision of the nose. After completion of the surgical intervention, a thin scar forms, absorbable by medical practice after 1 year.
Open rhinoplasty
Closed rhinoplasty is performed by an internal incision of the nasal tissues. The operation does not imply the formation of external seams as such. With this type of nose correction, internal scars may appear, which cause breathing discomfort.
Closed Rhinoplasty
Necrosis and infection of the tissues, causing the formation of scars, appear gradually, after a long period of time. To deal with the negative consequences should be through the introduction of hormonal injections, laser recovery and mechanical cleaning of facial tissues.
Keloid scars are a rather unaesthetic result of rhinoplasty, bringing many inconveniences . They go beyond the boundaries of the section and tend to increase in size.
They are formed due to excessive proliferation of connective tissues at the site of violation of the integrity of the skin.
keloid scar photo
Keloids are characterized by a sharp visual discharge on the skin, a bluish or dark red hue.
The size and shape of the scars depends on the formation of fibroblast, the function of which is to regenerate old tissue and to form new ones.
Conservative correction of keloid scars
Keloid scars are removed both by surgical intervention and by a therapeutic method.
Conservative (therapeutic) correction is based on the translation of the crude hypertrophic form of the scar to normotrophic, when the scars become visually invisible.
The use of corticosteroids
The essence of scar treatment is the use of hormonal water (triamcinolone (Kenalog-40) and a suspension of hydrocortisone acetate) in the form of injections at the sites of scar formation.
With corticosteroid therapy, the formation of seals is prevented. After 1.5 months, the patient’s skin becomes smooth. Relapse can be avoided by regularly using corticosteroid drugs.
Immunomodulatory therapy
Therapy is carried out by introducing alpha interferon and beta interferon. It is prescribed to persons whose scar formation has occurred after surgery.
Immunomodulating therapy reduces collagen fibers that promote tissue scarring. The first injection of immunomodulating therapy drugs is carried out during the first surgical intervention.
Repeated administration is carried out after 14 days, and subsequently every 7 days for 16 weeks.
Enzymes for the breakdown of hyaluronic acid
An enzyme that can break down hyaluronic acid is called hyaluronidase.
In cosmetology, 3 of its varieties are used :
ronidase;
lidaz;
longidaz.
But all of them are aimed at the breakdown of hyaluronic acid, which is the basis of keloid scar.
Correction of keloid scars after rhinoplasty is carried out by testicular hyaluronidase. Depolymerization of the enzyme stops the formation of collagen, helps to increase the permeability of skin tissues.
As a result of the action of the enzyme, the elasticity of the dermis increases, the contour of the scars decreases, and their resorption occurs.
The introduction of this enzyme into the body is carried out to saturate it in the cells of the cytoplasm and intercellular matrix. When entering the enzyme, the optimal balance of hyaluronic acid in the connective tissues is maintained.
To visualize the first results, one injection is enough, however, to completely eliminate the scar, it is necessary to undergo a course of procedures for entering enzymes in the amount of 8 to 25 visits.
Physiotherapeutic methods for the correction of keloid scars
If you want to completely get rid of the keloid scar, the most optimal option for solving this problem will be its removal.
For this, a cosmetologist can resort to microcurrents with therapeutic ointments or laser therapy.
Microcurrents with therapeutic ointments or gels
The procedure for the correction of keloid scars after rhinoplasty takes place in 3 stages:
Individual selection of cosmetics, depending on the condition and type of skin.
Apply a thin layer of ointment or gel for the procedure (applying “Kontraktubeksa”, “Mederma”, “Kelofibraza”, “Fermenkola”, “Zaderma” or other cosmetic substances as prescribed by the cosmetologist).
Exposure of electrical impulses to the skin. The pulse rate is adjusted by the beautician depending on the size of the scar.
After the procedure, a large number of intracellular processes are activated. Accelerated cell regeneration improves the structure of the skin, giving it smoothness and elasticity.
It is worth noting that the procedure is contraindicated for persons:
with purulent pathologies;
with oncological diseases;
with epilepsy;
whose internal organs have a severe pathology.
To completely remove the keloid scar, a course of 10 to 15 procedures will be required.
The cost is from $ 14 – $ 41. for 1 procedure.
Photos before and after rhinoplasty
Scar Laser Therapy
After rhinoplasty, correction of keloid scars can be done using laser therapy.
Scar laser therapy is possible in two ways:
Ablative , during which coarse tissue is removed by evaporation. The most effective way to deal with scars, however, has a long rehabilitation period. Complete elimination of scars occurs after 6 procedures.
Non-ablative , triggering the regeneration of deep skin epithelium. A more gentle, but less effective option for the skin. Complete elimination of scars occurs after 12 procedures.
Ablation laser correction, in turn, is carried out both carbonic (recommended for people with oily skin due to the fact that CO2 has a narrowing effect on pores) and erbium (gentle, suitable for dry skin type).
Correction of keloid scars after unsuccessful rhinoplasty should not be used by people with epilepsy, psoriasis, dermatitis, low blood coagulation, pregnant and lactating mothers.
The cost of the procedure is from $ 20 – $ 109.
Photos before and after rhinoplasty
Correction of keloids with cosmetic procedures
Poorly made rhinoplasty leads to the need for correction of keloid scars. After 6 months, it is recommended to resort to cosmetic procedures.
Peeling procedures
When scars are removed by peeling, the upper layer of the coarsened skin and scar tissue is destroyed. The procedure is carried out with retinoic, phenolic composition or trichloroacetic acid.
Both physical and mechanical peeling are built on the following processes:
Coarse tissue is dissolved with acid and then ground with a fine abrasive.
During the peeling session, the metabolism of healthy cells is activated, and the formation of colan fibers is normalized.
Exfoliation of scars occurs in conjunction with the upper layer of the skin.
After 10 days, the formation of a new smooth skin.
The peeling procedure is contraindicated during pregnancy and breastfeeding, individual intolerance to the peeling composition, oncological tumors, renal and liver failure, heart disease, rosacea, high blood pressure, diabetes.
The cost of the procedure is from $ 68 – $ 340.
Deep dermabrasion
If the scars are old or large, peeling may not be able to cope with the task of removing them. In such cases, cosmetologists recommend resorting to dermabrasion of the skin.
Deep dermabrasion is used to remove very visible scars. When damaged tissue rises significantly above the surface of the face. Grinding occurs in stages, cleansing one by one the coarsened layers of the skin. As a result, this leads to a comparison of the skin and the alignment of the color of the epithelium.
Dermabrasion should have a course approach, but the number of operations should not exceed 3 operations with an interval of 10 days. It should be noted that this method of scar removal is quite painful and carried out under the influence of anesthesia.
The cost of the procedure is from $ 27 – $ 109.
Mesotherapy
It is recommended to remove scars that are small in depth and size using mesotherapy.
When the drug is injected, dermis regeneration starts, cell metabolism is activated and the scar is smoothed out.
It is very important to select a highly qualified specialist both for prescribing injections and for injecting them.
Injections such as Restylane Vital (USA), Placentex Integro (Italy), IAL System (Spain), Revofil Aqua (Seoul) are used to remove scars .
The procedure can be carried out manually and hardware. It should be noted that manual injection is more accurate in relation to hardware.
The standard duration of the course is 10 procedures, but this figure can vary both up and down on the recommendation of a cosmetologist.
The cost of the procedure is from $ 41 – $ 163. depending on the manufacturer of the injections.
Surgical adjustment is considered one of the fastest and most effective ways to remove scars.
The procedure for excision of postoperative scars is carried out exclusively after the complete formation of the scar, after at least 3 months after its formation.
When the scar connective tissue is removed, the surgeon places an intradermal cosmetic suture.
The process of surgical removal of keloid scars is carried out both under general and local anesthesia. The duration of the recovery period after surgery is 3 weeks.
The cost of the procedure is from $ 82 – $ 476.
Correction of keloid scars after rhinoplasty is a rather complicated procedure. But if you turn to a highly qualified specialist in a timely manner, the result will please you for many years.
Useful video about the correction of
keloid scars after rhinoplasty
Correction of the shape of the nose implies the process of dissection of tissues for further correction of their location.
Enzymes for the breakdown of hyaluronic acid
