# Dorsal Nasal Skin Necrosis Following Rhinoplasty in Patients Treated with Topical Retinoids

## TL;DR

This paper reports two rare cases of dorsal nasal skin necrosis after rhinoplasty in Indian patients using topical tretinoin.

## Contribution

It is the first to describe this complication in the Indian population and discusses the management approach.

## Key findings

- Dorsal skin necrosis occurred in 0.8% of 244 rhinoplasty cases.
- Both patients were on topical 0.05% tretinoin treatment.
- No prior literature describes this complication in the Indian population.

## Abstract

Rhinoplasty is one of the most performed procedures by plastic surgeons worldwide, for both functional and cosmetic indications. The demand for aesthetic rhinoplasty in India has been on the rise over the past decade. Despite this rise in demand, rhinoplasty is still considered one of the most technically demanding procedures in plastic surgery. Complications following rhinoplasty are reported to be 4 to 18.8%, with dorsal skin necrosis being a rare complication that occurs in less than 1% cases. Out of a total of 244 rhinoplasties performed by a single surgeon at our institution, 2 cases of dorsal skin necrosis were encountered (0.8%). Currently, there is no literature describing dorsal skin necrosis following rhinoplasty among the Indian population. We present two patients who experienced dorsal nasal skin necrosis following open rhinoplasty while on topical 0.05% tretinoin treatment and highlight our management approach.