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Could my past rhinoplasty be causing this recurring sore at the tip of the nose?

Q:

I had rhinoplasty 10 years ago. I get a recurring sore or raw skin right at the tip of my left nostril for no apparent reason. It's worse in the winter, so I put Vaseline & neosporin on the area to try to get it to heal faster. It's at the spot where my rhinoplasty scar is. I was wondering if maybe the structure of my altered nose is causing this or if it's a result of the rhinoplasty in another way?

A:

Amanda,

 

 An examination is most likely going to be required to answer your question. One of the most common causes of the condition you describe is a virus. But, you could have a sun damaged spot or even skin cancer in the region. It would be very unusual for your condition to be from a Rhinoplasty that was 10 years ago. Please seek evaluation. Best,

 

Gary R Culbertson, MD, FACS

A:

A sore area at the tip of the nostril in winter is common--like chapping--because the air is so dry.  I have seen this problem a number of times. I have also seen chronic intermittent inflammation and even an occasional abscess at the nasal tip from rhinoplasty sutures placed to shape the tip.  This complication is not discussed but does happen.

Occasional soreness over this many years is not likely to be a skin cancer, but after this much time it is advisable to see an experienced rhinoplasty surgeon to be sure and to see if the problem can be alleviated.

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