Callus after rhinoplasty - what methods to remove?

Many of us, trying to get a beautiful and pleasant appearance, resort to various cosmetic surgeries. Rhinoplasty is considered the most common surgical procedure to correct the shape of the nose.

However, the human body tends to provide lost bone strength after surgery, so neoplasms often arise at this site. This causes the development of what is known as a “callus.” Such a neoplasm is quite rare, however, as a result of such a procedure, almost every patient undergoes it. Bone callus has nothing in common with ordinary callus; it does not represent hardened epithelium.

The growth is formed in the event of improper fusion of bones after surgery or nasal fractures, and therefore represents a normal regeneration process.

Why is “bone callus” dangerous?

Such an education does not mean anything serious for life, however, diagnosis and prevention must be carried out in a timely manner. In its absence, serious consequences may occur, including constant severe pain in the patient.

According to statistics, complications occur in 12 percent of victims. In 30 percent of cases, it is necessary to perform a second operation to prevent the proliferation of bone tissue.

When performing rhinoplasty, part of the bone and skin is removed. Operations of this type are always associated with changes in the structure of the nose. During interventions, the human body gives a protective reaction.

Unlike other body systems, bone tissue has a special healing process, which includes 3 successive stages:

The first is accompanied by the appearance of neoplasms around the site of connective tissue damage;
At the second stage, the development of bone tissue fibers is noted;
Then the bone tissue thickens due to fiber calcification. Over time, it completely replaces the soft one.

When passing the third stage, a small growth forms right at the site of fusion. If grinding is done during rhinoplasty surgery, then rehabilitation almost always takes place with the appearance of such a callus. The size of the growth always depends on the individual characteristics of the human body, the depth of damage to the bone and surrounding tissues.

Among the main reasons for the development of such a callus are the following factors:

The presence of individual characteristics of the body, which have a fairly high degree of tissue restoration;
An equally important factor to ensure a successful operation is the experience of the surgeon. Professional specialists with extensive experience know several secrets that help to carry out the operation in such a way as to prevent bone tissue from growing in the future.

How long does it take for a wound to heal after laser removal?

The duration of the complete healing period depends on many factors:

from the structure of the tissue itself, for example, the mucous membrane is restored faster than the rough thick skin on the feet or palms;
depending on the intensity of the blood supply to the area where the removal took place, well-supplied areas heal 2 times faster than, for example, the heels and feet, where there is practically no blood flow in the superficial layers of the dermis;
depending on the size of the wound that formed after removal, defects of small diameter heal 3 times faster.

Already at the end of the first day, the number of cells involved in regeneration increases along the periphery of the wound (for comparison with other methods of exposure only at the end of 3 days). By 5-7, there is an active process of angiogenesis, the germination of new vessels. And by 14-20 days, the tissue structure is completely restored without the formation of scar changes.

What does callus consist of?

Callus has a special structure, which appears as a result of the restoration of bone tissue when it is damaged, and is a natural process. We can say that this neoplasm consists of connective tissue growing at the site of bone fusion.

Bone tissue also grows in three stages:

The appearance of a provisional callus;
Formation of osteoid tissue;
Replacement of connective fibers with bone ones.

Almost always, cartilage tissue is formed first, which eventually turns into bone. This process takes about one year.

general information

Surely many of us have seen what a callus looks like after rhinoplasty. A photo of this structure can give many people goosebumps. But what is it? In fact, this structure is a formation that occurs at the site of bone tissue damage. It does not pose any threat to health, but it greatly affects the attractiveness of appearance. The organ of smell seems to increase in size and visually appears excessively large.

As medical statistics show, about 12 percent of patients who have undergone plastic nose correction face this problem. About one third of this number of people go back to the operating table. Moreover, among the possible negative consequences there is not only callus after rhinoplasty, but also hyperplasia.

The situation is complicated by the fact that it is impossible to predict in advance exactly which of the patients will develop hyperproliferated tissue during the rehabilitation process. Here everything depends not only on the doctor’s skill level and the individual characteristics of each woman’s body, but also on many other factors. The only thing doctors can do is try to minimize the possibility of callus formation. To do this, there are a number of general tips and recommendations, which will be discussed below.

What is the best way to remove a callus after rhinoplasty?

Every person, in case of formation of a callus on the nose, tries to choose the safest methods for its removal.

With hypergrowth of such a formation, the following consequences are possible:

Ugly hump on the nose;
Swelling and edema;
Deformation of the normal shape of the nose.

All of these phenomena not only noticeably worsen the appearance of the face, but also require repeated surgical interventions. Therefore, if the first suspicious symptoms appear, you should visit a plastic surgeon.

Functional complications of rhinoplasty

The main functional complication is chronic nasal congestion. The timing of recovery of external respiration after surgery varies. In some patients, breathing is restored after removing tampons or silicone inserts from the nasal passages. In some patients, breathing is restored after the cast is removed. The end of the early postoperative period is another control point at which many people regain breathing through their nose.

If breathing has not recovered after six months, it is reasonable to talk about the development of a complication. A functional complication can result from an incorrect choice of correction strategy (complete removal of the cartilaginous part of the septum, lack of manipulation of the maxillary bone, etc.). Difficulty breathing is often caused by non-compliance with rehabilitation rules: sneezing with your mouth closed, blowing your nose, wearing glasses. These errors increase the risk of perforation, curvature, and mobility of the nasal septum.

The category of complexity of revision rhinoplasty is largely determined by the cause of the functional complication. If the correction is insufficient, the plastic surgeon in the reoperation completes what was not done during the primary plastic surgery. Perforation of the nasal septum can often be corrected with a simple procedure that is not revision rhinoplasty. It is more difficult to operate if too much tissue was removed during the first correction. In this case, transplantation has to be used.

Diagnosis of the disease

The development of callus can be diagnosed using radiography. In the picture it will be visible as a small shell at the site of tissue damage. Rehabilitation is a fairly long and complex process. Its main goal is to stop the growth of bone tissue.

Callus cannot be called a disease, because there is no treatment for it as such. However, there are many different techniques that can improve the patient’s nutrition, reduce the inflammatory process at the site of injury and prevent further growth of bone tissue.

In order to improve the healing of bone tissue, specialists prescribe the following therapy:

Physiotherapy;
Surgery to remove bone tissue;
Treatment with medications.

Removal of callus is considered a radical method and is carried out only in cases where other therapy has not been effective.

Causes

The nose, in its anatomical content, is represented by three types of tissues:

Soft;
Cartilaginous;
Bone.

During rhinoplasty, a portion of any of these tissues is removed. Since any operation associated with nose correction damages its internal structures, the body begins to react in a standard way - it turns on its protective mechanisms. Bone tissue has its own characteristics of structural regeneration. This process consists of three stages:

Connective tissue forms around the damaged tissue.
The finest fibers of bone tissue begin to form.
Next, the formed fibers are replaced and subjected to strengthening. This happens due to calcifications.

It is because of this last process that callus growth occurs at the surgical site after rhinoplasty. Usually it is small. The most common formation of this defect is observed after grinding or removal of bone tissue.

The size of the growth depends on how severe the injury was to the bone, as well as how much cartilage and soft tissue were damaged during the operation. The speed and intensity of the increase directly depends on how a particular organism will react to such an intervention, as well as how quickly and actively the regeneration process will take place.

There is an opinion that callus after rhinoplasty also occurs in cases where a doctor with insufficient experience performed the operation. That is, its increase is associated precisely with medical practice and their secrets and developments in this area. But in fact, if your body is prone to intensive regeneration of bone tissue, then no experience will insure you against a possible complication, which is represented by two types of cells: the endostome and bone-forming cells in the periosteum.

This type of bone tissue takes about a year to form. Therefore, at the very first prerequisites, you should contact your surgeon, who knows how to reduce the intensity of the process and direct it in the right direction. The callus after rhinoplasty in the photo will help you understand what this defect looks like. In most cases, this is the appearance of a hump. Note that if the bone tissue was not touched during the operation, then the complication does not appear.

Features of treatment

The goal of treatment is to eliminate the possible complication. For this, various techniques and methods are used. It is important to use them immediately after surgery. This approach makes it possible to get the desired result faster.

But if there are individual contraindications, effective procedures may be limited. At the first stage, the most important thing is to reduce inflammation at the site of injury using medications.

The tumor can also be removed through surgery. Surgical intervention is a last resort; it is used when other methods have not brought the desired result.

Often this defect after taking medications can manifest itself as the following unpleasant sensations:

Increase in temperature;
The appearance of severe pain and redness of the bridge of the nose;
Difficulty breathing.

Recommendations from specialists are always aimed at effective and safe restoration of damaged tissue. Failure to comply with these rules can lead to serious complications for the patient. Regular visits to the surgeon will help you avoid such complications and undergo rehabilitation faster.

It is important to remember that the body's natural defense system can cause some problems as a result of rhinoplasty. But timely use of physical therapy and medications prevents the need for repeat surgery. As a result of a set of procedures and taking certain medications, the callus quickly resolves.

Taking good care of your body always allows you to maintain a beautiful appearance of your face and the functionality of your nose.

How long does redness and swelling last after laser vaporization?

As we wrote above, swelling after laser removal is rare and goes away quickly. Most often, swelling occurs during removal of tissues with good blood supply and thin epidermis, for example, when removing papillomas on the eyelid, condylomas on the genitals, or the oral mucosa. Swelling usually appears within a day and completely disappears after 3 days. When removing calluses and warts on the foot and palm, there is no swelling, since the hydrophilicity of the tissues in this area is low.

Redness around the wound after laser removal is not common, since the blood vessels are sealed in the affected area. Like swelling, redness often appears in areas where the skin is very thin and sensitive. Redness should not persist for more than 2 days. If the redness does not go away or begins to increase, you need to rule out inflammation and be sure to see a dermatologist for an examination.

Does the wound hurt after removal?

Laser is a unique method of influencing tissue, which causes complete destruction of neoplasm cells without affecting nearby healthy cells. We have already written above that swelling does not form in the cauterization area, accordingly, peripheral nerve receptors are not irritated and therefore the sore that forms after laser removal does not hurt. Of course, if the scab is in a place of constant pressure (for example, on the foot) or comes into contact with clothing (bra or belt), then discomfort may occur. There is no need to resort to taking painkillers; all sensations in the area are simply unpleasant sensations.

Taking medications

Drug therapy is considered a fairly common method of treating callus. It is most often used by surgeons as a treatment, as well as for prevention purposes.

In order to prevent the occurrence of hypertrophied callus, it is recommended to use drugs that contain glucocorticoid hormones that can eliminate swelling and ensure rapid bone recovery.

The most common drug is Diprospan, which is administered by injection. It can increase scarring, relieve swelling and reduce inflammation;
Another, no less well-known drug is “Kenalog”, the drug is administered intramuscularly, providing an excellent anti-inflammatory effect;
Also highly popular is a homeopathic drug that has a complex effect on the skin - Traumeel S. The products are used externally or internally; the manufacturer makes them in the form of drops, ointments and tablets.

Physiotherapy

Patients who have developed a callus after nasal surgery, in addition to taking medications, are prescribed a course of physiotherapeutic procedures aimed at increasing the effectiveness of the main treatment and stimulating regeneration processes in the body. These include the following:

Electrophoresis using enzyme and hormonal preparations.
UHF therapy based on the effect of a magnetic field on the human body.
Magnetic therapy - accelerates the healing process of tissues.
Sonophoresis is ultrasound treatment using specialized equipment using 1% steroid ointment.
Thermotherapy is treatment with heat.

As practice shows, the combination of these methods in combination with taking medications gives a positive result. But in very rare cases, no improvement occurs, so the patient requires surgery.

Physiotherapeutic procedures

Many people prefer to use various procedures that can help restore the nose to its previous shape. Even experienced specialists recognize them as highly effective. With physiotherapy, it is possible to ensure gradual resorption of the callus and also activate its regeneration.

The most common methods of such treatment are the following:

Using electrophoresis simultaneously with lidase and hydrocortisone preparations. This method can bring a good effect not only at the early stage of callus development, but also with significant compaction;
Thermotherapy or thermotherapy is also considered effective;
A good result can be obtained with the help of ultrasound, which is carried out using steroid ointment or phonophoresis;
It is also possible to use UHF or magnetic therapy.

Everyone understands that it is best to prevent the development of a callus on the nose. It is much easier to carry out thorough prevention with all precautions; in this case, you can avoid such unpleasant consequences, which will then be much more difficult to get rid of.

As preventive measures, experts advise following several rules:

Contact a surgeon as soon as possible if initial signs or some symptoms of growth development appear;
Strictly follow all doctor’s recommendations during treatment;
Choose the right clinic and specialist who will perform rhinoplasty. Such surgical intervention is quite common nowadays, it has a very optimal cost, so you should carefully navigate among the numerous offers in order to choose the most optimal option for yourself.

What to do and what to do

So, you noticed that you have a callus after rhinoplasty. How to remove it? You won’t be able to get rid of it yourself at home without the help of a qualified specialist, so it’s best to follow the following procedure:

Send an appointment to the surgeon who performed your nose correction, regardless of how long during your rehabilitation the problem appeared. This is especially true for force majeure situations that require immediate medical attention.
After passing the examination, the doctor will prescribe a treatment program for you, which must be followed strictly. This is the only way you can achieve the desired result and restore your appearance to its former attractiveness.

It is worth noting that hyperplasia is most often diagnosed in young people under the age of 18, so they are strongly discouraged from going under the knife of a plastic surgeon. This is due to the fact that their bone skeleton has not yet been fully formed, but continues to develop, so in place of one eliminated defect, another can always appear. In addition, there is a high risk of developing various serious complications that can pose a great threat to human health.

Recommendations from experienced specialists

To prevent the occurrence of callus, experienced professionals give several tips; by adhering to these rules, you can maintain your appearance as before.

In the first few days after the procedure, it is recommended to remain in bed; try to comply with this requirement, because this will allow you to get a good result not only regarding your appearance, but also your well-being;
In the first 2-3 weeks, it is best to stay at home, and you should also try to avoid strenuous physical activity;
It is not recommended to blow your nose at first; to clean it, it would be much better to use regular cotton swabs;
Complex strength exercises are not performed; heavy lifting can be carried out no earlier than after 2 months;
If you wear glasses, you should discard them during rehabilitation. If necessary, they can be worn for a short time;
Try not to eat foods that are too cold; it is much better to warm everything up;
For a month you should forget about beaches, saunas, steam baths, and solariums. This will help avoid severe overheating in the sun and under strong steam.

By following all of the above recommendations, a patient who has undergone rhinoplasty will be able to recover quickly and also prevent the occurrence of “callus.”

Repeated surgery

If a person not only has a callus after rhinoplasty, but also exhibits some other symptoms, then doctors have no choice but to resort to another correction of the olfactory organ. Causes for concern are:

increased body temperature;
excess fluid accumulation;
redness of the skin of the bridge of the nose.

It is important to understand that surgery cannot completely eliminate the likelihood of repeated relapses. It will be possible to draw final conclusions about the success of treatment after 6-12 months.

Useful video

About the rehabilitation period after rhinoplasty, watch this video: