Nose Surgery #Keloid

Hello. I’m Director Seo Chan-eol of AB Plastic Surgery.

I understand that people who know they have keloid-prone skin are often very concerned about plastic surgery as well.

Today, let’s look at whether this kind of issue can also affect nose surgery.

A keloid is a case in which, during the wound-healing process, collagen is produced excessively, creating scar tissue that extends beyond the boundary of the wound.

In general, the likelihood varies depending on where the wound occurs, and it is more common on the ears, torso, arms, and legs.

So, does this keloid tendency also affect nose surgery?

In conclusion, it does not have a major effect on the nose itself, but it can affect the areas where ear cartilage or rib cartilage is harvested.

Even if you look through actual cases in PRS, the most authoritative journal in the field of plastic surgery, there have been no reported scars from the columella wound itself in nose surgery, but there are often reports related to cartilage harvest sites. I think this difference is due to the different likelihoods and wound sizes depending on the area.

As for the nose, the facial area itself is known to be relatively less affected by this keloid tendency. Also, even in open rhinoplasty, the incision is made inside the nose, except for the columella, which is the pillar between the nostrils. The columella wound is very small, and an inverted V-shaped incision is known to produce the least scarring, so it can be said to be less affected by this issue.

For ear cartilage or rib cartilage harvest sites, the wound is at least 2 cm, so if you normally develop keloid scars, there is a possibility that they may also occur in those areas. If these materials are used, special care will be needed for the incision wound at the harvest site. For scars, silicone sheets or ointments can be started early, and if there are changes, injection treatment can also be used in combination.