# Localized Nasal Dorsum Skin Necrosis: A Rare Complication After Rhinoplasty

## TL;DR

A rare case of nasal skin necrosis after rhinoplasty was successfully treated without surgery, emphasizing the importance of proper postoperative care.

## Contribution

This case report highlights a rare complication of rhinoplasty and its effective conservative management.

## Key findings

- Localized nasal dorsum skin necrosis occurred in a young female after rhinoplasty.
- Conservative treatment with fusidic acid and silicone gel led to full recovery.
- Proper splint material and timely follow-up are crucial to prevent such complications.

## Abstract

Nasal dorsum skin necrosis is a rare but serious complication of rhinoplasty, with an incidence of < 1%. This case report presents a healthy young female who developed localized skin necrosis following primary aesthetic rhinoplasty, likely due to prolonged pressure from an external aluminum nasal splint and delayed postoperative follow‐up. The lesion was successfully managed conservatively using fusidic acid ointment and silicone gel, resulting in complete epithelialization without the need for surgical intervention. This case highlights the critical importance of appropriate splint material selection, timely postoperative evaluation, patient compliance, and early initiation of conservative therapy to prevent and manage such complications.