Q. Why have I got dermatitis after rhinoplasty?

Answered by
Dr. Rabia
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 20, 2019

Hello doctor,

I had a rhinoplasty performed 3.5 weeks ago. About a week after the surgery, I developed some form of dermatitis on my nostrils. My surgeon prescribed me with antibiotics and steroid cream. It helped and cleared up temporarily. He advised me to use Vaseline on the area to help wound healing. Although three days later, dermatitis has flared up again. I am very concerned.

Dr. Rabia



Welcome to icliniq.com.

It seems like post inflammatory erythema and few follicular papules over your nasal area (attachment removed to protect patient identity). A simple bacterial infection could be the cause that can happen after surgery. Please avoid using steroid like Hydrocortisone preparation over the area. Rather use an oral antibiotic. Did you notice any fluid-filled lesion over nostril? I mean blister? You will get better with an oral and topical antibiotic. Do not worry.

Differential diagnosis:

Bacterial infection, post inflammatory erythema.

Treatment plan:

Tablet Co-Amoxiclav 1 gm BD for one week, apply Fusidic acid ointment BD, take antihistamine tablet OD.

Preventive measures:

Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants.

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