Rhinoplasty is a delicate procedure that reshapes the nose for both aesthetic and functional improvement. Post-surgical scarring is a natural part of the healing process, but some individuals, particularly those with ethnic skin, may be more prone to keloid formation. Many patients in Saudi Arabia seek Rhinoplasty in Riyadh (تكلفة تجميل الانف في السعودية) and want to understand their risk for keloid development and how to minimize it.

Understanding Keloids

What is a Keloid?

A keloid is an overgrowth of scar tissue that extends beyond the original incision. Unlike regular scars, keloids are thick, raised, and can be itchy or tender. They often appear months after surgery and can affect both appearance and patient confidence.

Why Ethnic Skin is More Prone

People with darker skin tones, including Middle Eastern, African, or South Asian descent, are at higher risk for keloid formation. Genetic predisposition and increased collagen production contribute to this tendency.

How Rhinoplasty Incisions Affect Keloid Risk

Common Incision Types

Rhinoplasty may involve open or closed techniques:

• Open Rhinoplasty: Involves a small incision on the columella, which has a slightly higher risk of noticeable scarring.

• Closed Rhinoplasty: All incisions are inside the nostrils, minimizing visible scarring and reducing keloid risk.

Location Matters

Incisions in areas with high tension or frequent movement are more likely to develop keloids. Surgeons tailor incision placement and closure techniques to minimize tension and promote smooth healing.

Minimizing Keloid Risk

Expert Surgical Technique

Precise incision placement, gentle tissue handling, and proper suturing reduce trauma and lower the likelihood of keloid formation. Surgeons may use fine absorbable sutures and avoid over-tightening the skin.

Post-Operative Care

Following post-operative instructions is crucial. Measures to minimize keloid formation include:

• Keeping incisions clean and moisturized

• Avoiding excessive sun exposure or friction on the healing area

• Applying silicone sheets or gels as recommended by the surgeon

Early Intervention

If a raised scar begins to form, early treatment with pressure therapy, silicone applications, or corticosteroid injections can prevent progression to a keloid.

When Ethnic Skin Requires Extra Attention

Personalized Assessment

Patients with darker or ethnic skin tones require careful pre-surgical evaluation. Surgeons consider genetic history, previous keloid formation, and nasal anatomy to create a customized plan that reduces risk.

Minimally Invasive Options

Whenever possible, closed rhinoplasty or smaller incisions are preferred to minimize visible scars. Combining advanced suturing with post-operative care further decreases keloid risk.

Choosing the Right Clinic in Riyadh

Managing keloid risk requires expertise in both surgery and post-operative scar management. Selecting a skilled clinic ensures safe techniques, careful incision planning, and ongoing guidance to minimize scarring. Royal Clinic Saudia specializes in rhinoplasty for diverse skin types and provides tailored care to reduce keloid formation.

Book Your Consultation

If you are concerned about keloid risk and want a safe, aesthetic rhinoplasty, book an appointment at Royal Clinic Saudia (عيادات رويال كلينك). Experienced surgeons will assess your skin type, history, and nasal anatomy to design a personalized plan for optimal healing and minimal scarring.

FAQs:

Are people with ethnic skin more prone to keloids after rhinoplasty?
Yes, individuals with darker skin tones often have higher collagen production, making them more susceptible to keloid formation.

Can keloids be prevented after rhinoplasty?
While genetic predisposition cannot be changed, careful incision placement, proper suturing, and post-operative care such as silicone sheets or gels significantly reduce risk.

What treatment options exist if a keloid forms?
Early treatment includes silicone therapy, pressure dressings, and corticosteroid injections. In some cases, surgical revision may be considered.

Does incision type affect keloid risk?
Yes, open rhinoplasty has a slightly higher risk due to columella incisions, while closed rhinoplasty keeps all incisions inside the nostrils, reducing visible scar formation.