Should I Ask my Doctor for a Third Kenalog Injection (For Rhinoplasty)?

I've been given two kenalog injections since having a revision to remove excess scar tissue. One was given a week after the revision and the other was given 6.5 weeks later. Days after each injection, I noticed that my nose looked more defined and just how I want it, but within a few weeks it returned to being fuller. Should I schedule an appointment and ask my doctor for a third injection or will it inevitably be a waste again? If so, when? It's been two weeks since the last injection.

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Kenalog (triamcinolone acetonide) injections after rhinoplasty surgery may be repeated at monthly intervals.

I read your concern. Since you saw improvement after your first two Kenalog injections in your nose, you'll likely be happy with your final result. Kenalog injections work by reducing swelling, and swelling tends to take longer to resolve after revision rhinoplasty. Whenever I use Kenalog, I like to start with dilute Kenalog (2.5mg/cc) and work my way up to full strength (10mg/cc) as necessary. Injections are spaced at monthly intervals, and 1-4 treatments may be necessary. I... more

Eric M. Joseph, MD

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West Orange Facial Plastic Surgeon

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Should I ask for more analog shots after my Revision Rhinoplasty?

I have performed Rhinoplasty and revision Rhinoplasty for more than 20 years and use kenalog 10 injections when the need arises to decrease the accumulation of subcutaneous scar tissue. Thicker, oily skin is the most susceptible to this scar tissue build up but it (the scar) stems from chronic swelling in the tissues after a Rhinoplasty and as such can occur in all skin types after any Rhinoplasty if left alone. Kenalog 10, IMHO, can be injected into the nasal... more

Steroids after rhinoplasty

Too many injections will thin the tissues and can cause permanent color changes and ulcers. Be very careful and make sure your doctor discusses these risks with you.

Kenalog Injections for excess scar tissue

The comments below are of value. My concern is with regard to your question. "A revision to remove too much scar tissue"? It is not usual to inject Kenalog one week after surgery. Being patient to see your result is important. It is also important to live in the real world and know if your result is on target to give you the result you had hoped for. Personally, when I see a colleagues' patient who is worried as to whether everything is ok, I tell them that all is... more

Rhinoplasty and kenolog

Kenalog is a steroid and it works by turning on enzyme inside your body called collagenase. After the injection the catalog may work for 4 to 6 weeks. the steroid can break down too much tissue and leave indentations and thin-skinned. So it is smart to under treat and come back for additional treatments as opposed to over treating and having a problem. Time is your friend, wait and see how it heals and follow-up with Dr.