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Kenalog Injection: Can I Still Have Revision Rhinoplasty?

asked 1 year ago by NatashaM
Latest answer by Colin Pero, MD
Question viewed 367 times
Tags: kenalog, revision, side effects

Should I allow my doctor to give me kenalog injection although I plan to have a revision rhinoplasty in 9 months? Does it have any side effects?

7 answers to Kenalog Injection: Can I Still Have Revision Rhinoplasty?

+2

Kenalog after rhinoplasty can be unpredictable

If you have decided that you need a revision, Kenalog is just asking for trouble. Kenalog injections can hasten the softening of scar, but also can result in broken blood vessels on the skin called telangectasia, or dents and depressions with thin spots in the skin. The interest in Kenalog to improve rhinoplasty results is a bit of a surprise as the result is unpredictable. Stick to your plan and have a good revision by a very good surgeon. Kenalog may be a lifeboat, but does anyone really... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+2

Kenalog injections after Rhinoplasty.

I wouldn't bother with the kenalog injection if you've already decided to do A Revision Rhinoplasty.  The kenlog can dissolve scar tissue but it's actions are not 100% predictable and why risk creating an indentation at this stage.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Yes but be careful

Performing a steroid injection that far in advance of revision surgery should not be a problem, but I agree with a number of the other doctors--why do the injection if you are planning a revision anyway? It is difficult to counsel you on the relative benefits and risks of doing or not doing the injection without examining you and knowing what techniques were used during surgery. I would discuss the overall plan with your doctor and make sure it makes sense to you. more
Colin Pero, MD

Dallas Facial Plastic Surgeon

www.drpero.com

+1

Steroid Useful After Rhinoplasty

Steroid (Kenalog) injections are common practice after rhinoplasty and can be quite useful in controlling the ultimate shape of your nose.  They tend to be most effective for the first 3 or 4 months after the surgery.  In certain situations they can be used right up to, during, and after surgery, however, this does not usually include rhinoplasty surgery. I don't know how far after surgery you are.  If you are still in the first months, then I would say that steroids... more
Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

www.dr-apo.com

+1

Kenalog Injection: Can I Still Have Revision Rhinoplasty?

Dear natashaM, I would discuss your concerns and make an overall treatment plan with your surgeon. The kenalog injection can help reduce scar tissue, but there is a small possibility that it may cause tissue atrophy or skin discoloration. It should not interfere with the possibility of a future revision rhinoplasty. Warmest wishes, Larry Fan, MD
Larry Fan, MD

San Francisco Plastic Surgeon
+1

Kenalog before Revision Rhinoplasty

I would certainly talk with your surgeon. If there is definitely a need for revision rhinoplasty and the revision will work in the same area as the area to be injected with the steroid, I would simply opt for the revision surgery. While it won't interfere if done far enough in advance, steroid injections are not as predictable as surgery.
D.J. Verret, MD

Dallas Facial Plastic Surgeon
+1

Kenalog Steroid Injections and Rhinoplasty

Natasha, having a steroid injection that far in advance of a planned revision rhinoplasty procedure should be just fine. Make sure your surgeon is experienced in the art of steroid injections for rhinoplasty reshaping. In general, steroids can be a great option for additional refinement of the nose following a prior rhinoplasty. Some of the more common side effects include development of a depression where there once was a bump. Even if this does occur, it typically will rebound a little... more
John M. Hilinski, MD

San Diego Facial Plastic Surgeon

www.drhilinski.com

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