Localized Nasal Dorsum Skin Necrosis: A Rare Complication After Rhinoplasty

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.