It is a common problem after operation, which is characterized by redness and brightness of the skin on the back of nose and tip of nose. It is mainly caused by the long-term stimulation of the prosthesis to the skin on the back of the nose. The degree of skin irritation is related to the following factors:

1 is related to the material of the prosthesis. The harder the prosthesis is, the greater the irritation is. So in order to reduce the irritation to the skin, we first choose autologous tissue, followed by soft swelling. Silica gel is hard and irritating to the skin, especially the domestic silica gel we used in the early days, which is very irritating to the skin because of its many impurities. The high-quality medical silica gel used in recent years has much less irritation to tissues. When using silicone augmentation rhinoplasty, we should also be careful not to raise the tip of the nose excessively, which may easily cause the skin of the tip of the nose to be excessively tense and affect the local blood circulation, resulting in white or red skin of the tip of the nose, and in severe cases, it may also lead to silicone prolapse. Therefore, we all advocate the use of autologous cartilage at the tip of the nose to reduce complications.

2. It is related to the implantation level. The shallower the implantation level, the stronger the stimulation to the skin.

3. It is related to the thickness and sculptural shape of the prosthesis. The thicker the prosthesis, the more obvious the irritation to the back of the nose, especially those with thin skin. It is necessary to choose a soft prosthesis that is not too thick. Also, when carving the prosthesis, the back of the nose is carved too steep, which leads to excessive local pressure, which affects local blood circulation and causes local redness and swelling.