Why have I got dermatitis after rhinoplasty?

Question

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.

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

It seems like post-inflammatory erythema and a 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 steroids like Hydrocortisone preparation over the area. Rather use an oral antibiotic. Did you notice any fluid-filled lesions over the nostril? I mean blister? You will get better with an oral and topical antibiotic. Take tablet Co-Amoxiclav (Amoxicillin and Clavulanic acid) 1000 mg twice a day for one week, apply Fusidic acid ointment twice daily, take antihistamine tablet once daily. Maintain hygiene of the area, wash with soap and water, avoid using antiseptic lotion and other irritants. Do not worry.

I hope this information will help you.

Thanks.