Has anyone ever had a surgeon safely give them kenalog injections when they had a Medpor implant in their nose?

  • irsi
  • New York, NY
  • 9 months ago

I had rhinoplasty with tip elevation/rotation and a trimmed tip-top graft to narrow the nose four months ago. The nose looked pretty good at 6 weeks, when it wasn't swollen, but I saw the final result/shape. Then I bumped it hard, it refilled, and it's been downhill ever since. It looks like there's a pink disk under my skin.   Right now, four months post op, there is a big wad of scar tissue, the nose it's jutting, and while the nose is the shape it was when it was bumped, it's massive, alternately puffy/hard around the tip.  My surgeon refused to give me a kenalog injection and said it was dangerous/could cause indents, but because of the timing of the bump, at the rate I'm going not only will I wait a year to have a bulbous version of my old nose--I've have scar tissue around the tip, after two months of misery post-narrowing. I just want to get on with my life and am kicking myself for not treating the nose like glass to avoid this outcome. I have thick skin which is making this even more stressful.   What can I do? Oral steroids make me feel awful; I don't even think taping helps anymore. I understand why no other surgeon will see me even if I want for another two months (six months post op), but I'm miserable. I get cortisone injections for acne cysts and have for years and it doesn't cause indents. Why can't I do that now?     

Comments (9)

It would be wise to listen to your doctor. Most doctors would recommend waiting till the majority of swelling has subsided before doing kenalog injections which is best done in small doses over a period of time. The hardest thing about post-op is patience. Think about your nose in the long run, don't make irrational decisions.
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oh, i forgot to answer your question.. yes i had kenalog at 9 months post-op.
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Yes, but do you have an implant in your nose? I know this is my fault, but I feel awful...and the nose looks awful. It is massive and discolored. I feel so stupid.
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I should add that this is a Medpor implant. The surgeon checked it, it's intact. I can't take bromelain or arnica, the "natural" swelling aids, because they break me out in cysts. I know it's not safe, but I feel frustated for putting myself in this position.
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The majority of the swelling WAS gone, if you can believe--seriously. I was relieved early to finally get to a place when the doctor himself said he was surprised because at 6 weeks the nose was "normal" most of the day. It looks as bad as it did when the cast came off now.
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Yes i had medpor as well. Are you seeing the same doctor?
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I'm so sorry about the bump and other healing issues you're dealing with. It looks like you got a great answer on this same question you posted in the doctor Q&A community.

Please keep us updated as you continue to heal.

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It's really problematic not being able to reply to doctors. I know ultimately I have to wait, but with each setback, I've caused myself a lot of trouble. At this point, because of my own dumb behavior/not being careful, I regret the surgery. It's been six weeks since I massaged too hard, four months post op, and the nose really looks awful/feels uncomfortable. I feel like I ruined my surgery; this was the time by which I was supposed to have been relieved.
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I'm sorry to bother you; do you have any posts from other patients getting 3rd rhinoplasties/2nd open rhinoplasties/implant removal? That's what I'm looking at now and I'm looking for surgeons but so far I'm not finding anything through Real Self that specifically addresses the dreaded 2nd revision for bulbous tips/excess scarring.
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