How to manage and treat a Rhinoplasty Scar

Dr. Michael Kernohan, Specialist Plastic & Reconstructive Surgeon in South West Sydney, regularly guides patients through the healing process after nose surgery. One of the most common questions he receives is about the appearance of a rhinoplasty scar. While scars are a natural part of recovery, most patients want to know what to expect and how they can best support their healing. The concern often arises from the visibility of the nose as a central feature of the face, which naturally makes patients more attentive to any changes in skin texture or colour. Reassuringly, scars after rhinoplasty are usually discreet, and with the right aftercare, they often blend with the natural contours of the skin.

In Sydney, with its high levels of UV exposure and active social and professional lifestyle, scar care is an important consideration. Patients who are regularly outdoors, or who return quickly to professional or public-facing roles, need to be especially mindful of how their scars respond to sunlight and environmental factors. This page explains where rhinoplasty scars appear, how they change over time, and what steps you can take to manage them safely with the guidance of your surgeon.

Take the Quiz

Understanding Rhinoplasty Scars

Where Do Scars Form After Rhinoplasty?

In rhinoplasty, the type of approach used by your surgeon determines where scars may appear. During an open rhinoplasty, a small incision is made across the columella, the strip of tissue that separates the nostrils. This incision allows for greater surgical visibility and precision but does leave a fine scar on the underside of the nose. With careful placement, it usually becomes subtle over time. In a closed rhinoplasty, all incisions are made inside the nose, which means there are no visible external scars. In some cases, particularly when the nostrils need to be narrowed, additional small scars may be created at the alar base. These are positioned carefully to follow the natural curves of the nostril, making them less obvious once healing is complete.

Normal Healing Timeline

Scars do not look the same throughout recovery; instead, they evolve over many months. In the first six weeks after surgery, it is normal for the scar to appear red or pink and for the surrounding tissue to feel firm. This is a natural part of early healing as the body produces collagen to repair the wound. Between two and six months, the scar typically begins to flatten, and the redness gradually fades. The healing process does not end there, however. Scar tissue continues to mature for up to two years, and during this period, scars soften, fade, and become less noticeable. Understanding this long timeline helps patients manage expectations and avoid unnecessary concern in the early phases.

Download Dr Kernohan’s Rhinoplasty Nose Surgery Guide

Factors That Influence Scar Healing

Surgical Technique And Closure Method

The precision of the surgical technique plays an important role in how scars appear. Dr. Michael Kernohan, as a Specialist Plastic & Reconstructive Surgeon, focuses on careful incision placement and gentle tissue handling to reduce tension on the skin. The type of sutures used and the way they are positioned also influence healing. While every surgical wound will leave a scar, the goal is to make it as fine and discreet as possible. Patients should also understand that even with meticulous technique, individual healing responses vary, which is why aftercare remains just as important as surgery itself.

Patient Factors

Each person heals differently, and patient factors strongly influence the final outcome of a rhinoplasty scar. Genetics play a role, as some people are more prone to forming raised scars or keloids. Skin type also matters; darker skin tones may be more likely to develop pigmentation changes, while lighter skin may show redness for longer. Age is another consideration, as younger patients often heal quickly but may form thicker scars, while older patients tend to heal with thinner, less reactive scars. Lifestyle choices, including diet, hydration, sleep quality, and smoking, significantly affect how well tissue repairs itself.

Environmental Factors

The environment in which a patient lives also shapes scar outcomes. Sydney’s climate, with its high UV exposure, increases the risk of pigmentation changes in scars if they are not adequately protected. Patients who spend time outdoors for work or recreation need to apply sun protection consistently. Environmental pollutants can also irritate healing skin, making proper cleansing and protection even more critical. Social and professional pressures, particularly in industries that value physical appearance, can also make patients more aware of their scars during the healing phase.

Caring For A Rhinoplasty Scar – Immediate Post-Surgery

First Weeks After Surgery

The initial weeks after rhinoplasty are crucial for proper wound healing. During this time, patients should follow their surgeon’s instructions carefully to avoid complications. Incisions must be kept clean and protected from irritation. It is important to avoid applying makeup or cosmetic creams over fresh incisions until the skin is fully closed, as these can introduce bacteria and disrupt healing. Swelling and redness are expected, but any sudden changes should be reported promptly to your surgeon.

Use Of Taping And Splints

A nasal splint is usually applied immediately after surgery to support the nose during its initial healing. Once this is removed, some surgeons recommend taping the nose to help reduce swelling and support the skin as it conforms to the new structure. Taping is a temporary measure, and while it can assist with swelling, it is not suitable for all patients. It should always be carried out under your surgeon’s direction to ensure safety and effectiveness.

Red Flags To Watch For

While mild redness, swelling, and discomfort are expected in the early stages, certain warning signs should not be ignored. Increasing redness that spreads, thick yellow discharge, or breakdown of the wound can indicate infection or delayed healing. Severe or sudden pain should also be reported immediately. Early intervention is important in managing these issues, and staying in close contact with your surgeon during this period ensures timely support.

Supporting Scar Recovery – After The Wound Has Healed

Silicone Gels And Sheeting

Once the wound has closed and the skin is intact, silicone gels or sheeting may be recommended. Silicone has been widely used in scar care, as it can help keep the area hydrated and reduce the risk of thickened scars. It is usually applied consistently over several weeks or months. While results vary between individuals, silicone remains one of the most common methods for supporting scar maturation in a safe, non-invasive way.

Sun Protection

Protecting scars from sunlight is especially important in Australia, where UV levels are high throughout much of the year. Even brief sun exposure can cause scars to darken, making them more visible. Applying a high-SPF sunscreen once the skin has healed and wearing hats or seeking shade can make a significant difference in how well a scar fades. This is particularly important for patients in Sydney, where outdoor activities are part of daily life.

Scar Massage And Moisturising

Scar massage is another technique that may help improve blood flow and soften scar tissue. When performed gently and only after clearance from the surgeon, massage can increase flexibility in the skin and help prevent tightness around the incision. Moisturising with approved creams may also help maintain skin health, though the emphasis should always be on using products recommended by your surgeon.

Healthy Lifestyle Support

Healing is not just about what happens at the surgical site but also about overall health. Eating a diet rich in vitamins, minerals, and protein gives the body the building blocks it needs to repair tissue. Staying well hydrated keeps skin healthy and elastic. Avoiding smoking and excessive alcohol use is essential, as both can impair blood supply and delay healing. Adequate sleep and stress management also support the immune system and overall recovery.

Rhinoplasty Before and After Photos

Disclaimer: All surgical or invasive procedures come with inherent risks, and results can vary widely between individuals due to factors like lifestyle, anatomy, overall health, weight, and nutrition. We encourage you to conduct thorough research and consider seeking a second opinion from a qualified healthcare provider.

When A Rhinoplasty Scar Needs Extra Attention

Raised Or Thickened Scars

Not all scars heal the same way, and in some cases, scars may become raised or thickened. Hypertrophic scars are those that remain within the boundary of the incision but become elevated. Keloid scars, by contrast, can grow beyond the original incision and become more prominent. Both can cause physical discomfort and cosmetic concerns, which may prompt further treatment.

Non-Surgical Options

If a scar becomes raised or troublesome, non-surgical treatments may be considered. Corticosteroid injections can help flatten thickened scars, and laser treatments can reduce redness or improve texture. These approaches are usually recommended only after the scar has shown signs of abnormal development and should always be discussed with your surgeon to ensure appropriateness.

Surgical Revision

In rare cases, surgical revision may be required. This involves re-excising the scar and re-closing it with careful technique. Surgeons usually recommend waiting until a scar has fully matured before considering revision, often a year or longer after the original surgery. Revision surgery, like any procedure, carries risks and should be undertaken only after thorough consultation.

Patient Considerations In Sydney

UV Exposure And Outdoor Lifestyle

Sydney’s high UV levels present a specific challenge for patients healing from rhinoplasty. Even short exposure can affect scars, making sun protection non-negotiable. Patients who enjoy outdoor activities such as cycling, running, or sports should take extra care during the healing phase. Using sunscreen consistently and wearing hats or visors can protect the healing skin.

Timing Surgery Around Life Events

Many patients choose to schedule surgery around key life events. Whether preparing for a wedding, an important work presentation, or a holiday, understanding the realistic healing timeline is essential. While swelling and redness improve in the first few weeks, scars continue to mature for many months. Planning surgery with this in mind helps align expectations and avoids unnecessary stress.

Access To Qualified Care

Sydney residents seeking rhinoplasty should prioritise consulting a Specialist Plastic & Reconstructive Surgeon. Dr. Michael Kernohan in South West Sydney provides comprehensive care for patients, with an emphasis on safe outcomes and evidence-based scar management. Patients are also encouraged to seek a second opinion if they are uncertain about treatment options, ensuring they make informed decisions.

The Role Of Your Surgeon In Long-Term Scar Care

Follow-up care is an integral part of surgery. Regular reviews with your surgeon allow progress to be monitored and adjustments made if necessary. Treatments such as silicone, massage, or even medical interventions can be introduced at the right time based on how a scar develops. Dr. Michael Kernohan provides patients with tailored advice at each stage, ensuring that scar care is adapted to their individual needs. This ongoing communication reassures patients that they are supported well beyond the initial operation.

Summary And Next Steps

A rhinoplasty scar is usually small and tends to fade with time, but healing is a gradual process that requires care and patience. By understanding the normal healing phases, recognising the factors that influence scar formation, and following evidence-based care practices, patients can support their recovery effectively. Sun protection, silicone therapy, and lifestyle choices all play a role in how a scar develops. Most importantly, regular communication with your surgeon provides reassurance and timely guidance if concerns arise.

Dr. Michael Kernohan, Specialist Plastic & Reconstructive Surgeon in South West Sydney, works closely with patients to ensure they are well informed and supported at every stage of their rhinoplasty journey. For those living in NSW, local lifestyle factors such as UV exposure and social or professional timing must be considered when planning and managing recovery.

Call To Action

To discuss your rhinoplasty options and scar management plan, arrange a referral to Dr. Michael Kernohan, Specialist Plastic & Reconstructive Surgeon, South West Sydney. With thoughtful planning, professional advice, and appropriate aftercare, you can approach your healing process with confidence, knowing that your care is guided by an experienced specialist.

Further Reading

• Read Dr Micheal Kernohan Nose Surgery Procedure
• Read more about Cartilage Graft Nose Job
• Read more about Types Of Nose Shapes And Nose Surgeries
• Read more about Will Medicare Cover My Nose Surgery/ Rhinoplasty?

Medical References

• Outcomes of Open Versus Closed Rhinoplasty, a Systematic Review – https://pmc.ncbi.nlm.nih.gov/articles/PMC12327578/
• An Updated Overview for Rhinoplasty Techniques – https://ijmscrs.com/index.php/ijmscrs/article/view/2132
• Rhinoplasty. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK558970/
• Trends of rhinoplasty research in the last decade with bibliometric analysis – https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2022.1067934/full
• Rhinoplasty (Nose Job): Surgery, Recovery, Before & After. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/11011-rhinoplasty
• Rhinoplasty. Mayo Clinic. https://www.mayoclinic.org/tests-procedures/rhinoplasty/about/pac-20384532