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Please please help... Scar tissue build up

Please please help... Scar tissue build up

Postby inmeclf » Fri Mar 18, 2011 7:02 pm

Hello everyone,

After my original rhinoplasty of 18months ago, I had revision surgery 5 weeks ago to remove scar tissue from the right hand side of the bridge of my nose (left hand side looking at photo). Since the revision surgery, the scaring has increased in size and hardness and has been completely heartbroken. The scar tissue is between the layers of skin and feels like a hard lump. It softens when massaged (temporarily), but then hardens up again. I have had one steriod injection since (a week ago) and saw my surgeon again today. He says that hopefully with time and steriod injections the scar tissue should soften/flattern, although I worry that it won't as it only appeared/increased in volume after months since my original operation.

As you can see in the photo, the tightness and lump of the scar tissue on the right side of the bridge of my nose has cause the left hand side of my nose to 'concave', causing an uneven and unsymmetrical look which I find horrifying. My friends says that in real life it doesn't look anywhere as bad as the photos and that they hadn't even noticed. My right hand nostril has also become raised due to the tightness of the scar tissue above it... I feel like I look like freak and regret having the revision surgery to remove what was previously less scar tissue.

To make things worse, my ex girlfriend wants to meet up with me soon as she still loves me and misses me and I desperately want her back. I haven't seen her since my revision surgery and am in complete panic as to what she will see. My surgeon and friends insist that it doesn't look 'that' bad, but the photos suggest otherwise. When I look in the mirror it doesn't look that bad, until the light catches the lumpy appearance of the scar tissue. I am going to continue having steriod injections and my surgeon has also suggested injections to build up the other side to give a more symmetrical appearance. I feel completely lost, helpless and heartbroken and am reaching out for an advice that may help. I am not sure whether the scar tissue is Keloid or Hypertrophic (although I presume it's Keloid) and am therefore really worried that it will only continue to grow and harden. My surgeon says that our only option is steriod injections and time and that it should flattern/soften with time - is there any hope?
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Re: Please please help... Scar tissue build up

Postby beautyandthebeast » Fri Mar 18, 2011 8:12 pm

I am so sorry you are going through this. I def. understand how you feel. I am no doctor but, you are only 5 weeks out and I know my nose changed a lot from 5 weeks to now (6 months) things that were bad in the beginning are not and other things that weren't bad are now horrible.
Anyway, be a little wary of multiple steriod injections, I would maybe get a second opinion on that. I also wouldn't start getting injectables just yet. There is a bit of controversy on that. Suprised your surgeon mentioned them so soon. He sounds a little ...
For what it's worth your a very good looking guy and while I see wht your talking about, your still good looking and I am sure your GF will not care about your nose. Remember ltrue love is more than superficial. Hopefully, this will get better and be a non issue in a few months. Keep us updated and if your able to, please share your surgeon's name
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Re: Please please help... Scar tissue build up

Postby inmeclf » Fri Mar 18, 2011 8:44 pm

Thank you for your lovely reply.

My surgeon's name is David Roberts (London, UK) and is well known as being one of the best in the UK. Thank you for the compliment, although I can't stop thinking that my nose has now completely ruined my appearance. The steriod injections I feel is the only real hope, as well as some sort of 'building up' of the left hand side of my nose. Does anyone know what is normally injected in order to build up one side? God, I'm so worried / lost / panicing... I just wish I hadn't had the revision :(
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Re: Please please help... Scar tissue build up

Postby kam214 » Fri Mar 18, 2011 9:47 pm

It is so hard to be patient and see what happens :(

I would guess that injectables could definitely work to build up the tissue. Usually Juvederm is used I believe. I would also be VERY VERY leery of using steroid injections OR injectable fillers so early in the healing. Steroid injections are notorious for making dents in the nose that sometimes go away but sometimes do not.

I am a girl and I think you are extremely handsome even with the nose you are not pleased with. It is not so bad that it detracts from your handsomeness as your features are all just perfect! In fact, sometimes these little things we call flaws are more character to others even though WE don't see it that way. I just had my third rhino/second revision and I know how hard it is! Your ex GF will still find you handsome and attractive no matter what if she truly loves you still. If she says anything about your nose in a negative light, I would move on to someone who is not that shallow. I know that will not be the case as you look great still by anyone's standards. I would also seek a second opinion on everything your doc has told you just to be safe.

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Re: Please please help... Scar tissue build up

Postby vwmumofone » Fri Mar 18, 2011 10:04 pm

You are still very handsome! You can improve this with HA injectables (non-surgical nose job). There is a lady on Miss J's forum who did this to her retracted nostrils, and hers looks amazing. I would wait a good while first though. It may resolve itself. Keep your chin up and focus on other things.
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Re: Please please help... Scar tissue build up

Postby inmeclf » Sat Mar 19, 2011 5:41 am

Thank you so much for such positive comments - they do help to somewhat ease this terrible pain I'm feeling.

I don't know which side of the nose to be more worried about. Even if the injectables work to 'fill' the left side, giving more symmetry, I'd still have this lump of scar tissue inside the right side of the bridge that (from what I've read) is unlikely to flattern out. Does anyone have any experience with scar tissue in between the layers of skin? I remember after my original surgery, I couldn't feel any scar tissue in the area (18 months ago), then suddenly it started to 'grow' a few months after. I'm petrified that this pattern will repeat through the scar tissue I already have (only 5 weeks after revision) continuing to grow and harden.

The ex girlfriend situation has been something that has been on/off for the last four months since we broke up. It has been heartbreaking on it's own and she has been constantly confused as to whether we should get back together. I feel like seeing her now will be a massive moment in our possible reconciliation, but I just don't think I can be myself as I have lost all my confidence. Funnily enough, I didn't actually know how bad it was until I took some photos. It doesn't look too bad in the mirror and friends hadn't noticed (except one), but my heart sunk when I took photos and saw the reality.
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Re: Please please help... Scar tissue build up

Postby Pixi » Sat Mar 19, 2011 10:30 am


Yes I can see that your result has some asymmetry but you do still have a lovely face as posters above point out :)

David Roberts is I understand an ENT? From research they tend to be a bit more 'happy' with steroid injections than PS (plastic surgeons). I would very cautious indeed about getting the injections given the possible side effects e.g. skin discolouration, dents and go and get a second opinion - preferably from a PS in the UK that specialises in revisions so that you get a totally different view.

I'm also based in the UK and got a very bad primary from one of the 'best' rhino ENTs so am sceptical of their general skill level.

All the best
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Re: Please please help... Scar tissue build up

Postby June8 » Sat Mar 19, 2011 1:36 pm

You look GREAT!! Good luck with the girlfriend!! : ) That's rather exciting don't you think!!?
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Re: Please please help... Scar tissue build up

Postby sbsbsbsb » Sat Mar 19, 2011 2:00 pm

Hi Dude - I feel your pain. I am wondering what your doctor did and how your nose looked before. I don't know much about injectibles but hear they are temporary and something you have to be very careful about using. I would be dishonest if I said I didn't see your issue - I think it is obvious, but maybe it is just me. I focus on every nose I see, in person, on tv, don't matter. Quite an obsession I have. You deserve to get it fixed the way you want - not necessarily by the same doctor. I am sorry about your girl, but you have to take care of yourself to be a better person - you first. BTW - you are an extremely good looking person. In a few years you will look back at all of this as a memory - a phase in your life.

Hey VW - Is it possible you could post a link for that injectible? Sounds VERY interesting. Thanks.
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Re: Please please help... Scar tissue build up

Postby vwmumofone » Sat Mar 19, 2011 4:00 pm

Hi sbsbsbs. I can't link you to the photos on Miss J's site because you need a membership to view them, but if you google non-surgical nose job, you will pull up all kinds of info and images on the web.

A lot of docs use Radiesse as the injectable for noses, but Restylane is also used. It is a controversial thing for sure.
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Re: Please please help... Scar tissue build up

Postby Pucky » Sat Mar 19, 2011 4:44 pm

You are so good lucking I would really wonder if your girlfriend rejects you based on your appearance. She may however get the wrong idea if you put her off too much longer and thinks you don't care for her anymore so DO GET IN TOUCH WITH HER ASAP! Does she know you had surgery? Sometimes its best to be upfront with the people you care about even if it may cause a little embarrassment.
As far as fillers go, It is way too premature to be getting injections of any kind. You need to let your swollen tissues heal and time is the only thing that will help. So, don't try to put her off till this thing resolves. Best wishes and chill out. You're still hot!
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Re: Please please help... Scar tissue build up

Postby s228 » Sat Mar 19, 2011 6:35 pm

Be honest with your girl. I speak from experience with my ex. Shell understand and should love you as you. This wasn't your fault that you had a minor issue. Bye the way you look fine but I do see what you are referring to. In addition to the boards, do a consult with a good revision doctor. solemn and litner do free Skype consults. At the very least you'll get an objective medical opinion on how to address this from someone other Thames your doctor. Dr. Frankel will also give some feedback via email. He is excellent too.

Best of luck. Just be honest and treat her right. You'll be good.
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Re: Please please help... Scar tissue build up

Postby inmeclf » Sun Mar 20, 2011 9:38 am

Thank you so much everyone for your support - I appreciate it very much.

Went out last night and had a terrible night because I was always conscious of my nose.

I've attached 3 more photos - 2 were from after my original surgery (with my ex gf) and 1 from after the revision. I will post another two in a minute which are from a more side on angle where you can really see the difference between the sides.

As this revision surgery was only to remove some scar tissue from the right side of my nose, and the left hand side was left alone...is it possible that there is still alot of swelling on the right side which in turn exaggerates the different even more? The problem is, all I can feel is more scar tissue, this time even harder and bigger. The left hand side had been 'dragged in' even more creating a horrible (IMO) assymmetry. If the left hand side of my nose wasn't touched during surgery, would it not be ok to have the fillers injected into that side to build it up and achieve a more balanced look? My surgeon mentioned that the fillers are similar to what is used in botox (perhaps called Dermafiller? or something)...does this mean that I would have to have it done every six months or so? Jeez, I would feel like my nose was made of plastic!

I'm so angry at myself for letting a small bit of scar tissue get to me - which led me to have the revision surgery. My nose is much worse now. I am going to book consultations in with actual plastic surgeons in London to get a second/third etc. opinion(s). Yes, my surgeon was an ENT not a Plastic Surgeon, to be honest I didn't know that perhaps it would have been better to go with a Plastic Surgeon. I am looking at Yannis Alexandrides, Julian Rowe-Jones and Stephen Hamilton..as well as trying to get skype consultations with Litner and Solomon. Does anyone know anything about these guys?

Ok...here are the first three photos...two more to come in a minute.
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Re: Please please help... Scar tissue build up

Postby inmeclf » Sun Mar 20, 2011 9:48 am

So here are the other two as promised. The one above (white shirt) from front on doesn't look TOO bad, but these two from the side angles show how bad it really is. As you can see, the left side is concave and the right side sticks out with a lump of scar tissue. I really it's only 5 weeks post-op, but although some of the swelling may go down, I can't see the scar tissue softening or flatterning...in fact, it may even get worse :(
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Re: Please please help... Scar tissue build up

Postby inmeclf » Sun Mar 20, 2011 9:57 am

So, first op. 18months ago, after a year or so I get a small build up of scar tissue (almost unrecognisable in two photos with ex gf). I have revision surgery 5 weeks ago to remove scar tissue (left hand side of nose not touched) and has resulted in the following 3 problems:

i) More build up of scar tissue on right hand side of nose (don't know what type of scaring, but I'm worried it's Keloid - ie. won't settle down)...

...which in turn has caused... ii) 'Pulling' of left hand side to create concave look and assymmetry

...and also... iii) lifting of right hand nostril due to tightening(?) and scar tissue lifting skin.

Interestingly, my surgeon only took 45mins to perform the revision. Although he literally just removed a 'lump' of scar tissue and stitched back up, doesn't this seem too short? I'm starting to worry that he's not as skilled as I thought he was, even though he has a very good reputation and is very expensive. Effectively, having removed the scar tissue, more has formed in it's place and he suggests that another op would mean that the same thing happens again. He suggests that surgery is not and will not be an option, which worries me as it makes me believe that I'll have to live with this nose for the rest of my life.
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