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How Many Kenalog Injections Are Ideal After Rhinoplasty?

asked 11 months ago by lookingforanswers2
Latest answer by Sarmela Sunder, MD
Question viewed 973 times
Tags: 1 year post-op, kenalog, quantity

I had my first rhinoplasty last year and the doctor gave me a kenalog injection a week post-op and another 5 months later, but scar tissue started to form 2-3 months post-op. I had a revision last week to have scar tissue removed and my doctor just gave me an injection. Should I ask for another injection? I want to do anything I can to prevent excess scar tissue from forming again. How many injections do doctors that use kenalog usually give their patients after surgery and when?

13 answers to How Many Kenalog Injections Are Ideal After Rhinoplasty?

Kenalog injections after rhinoplasty

Hi, There is no standard number of Kenalog injections that one should have following surgery. It really depends on how your body responds to the injections. Most surgeons use as many injections as is necessary to achieve an adequate result or until there is no further progress. This could be just one injection or several injections. Most surgeons space the injections over the course of several weeks (4-6 weeks) in between injections. Good luck with your healing. Dr.Sunder more

Sarmela Sunder, MD
Beverly Hills Facial Plastic Surgeon

Steroid injections after rhinoplasty

The ideal number is zero but if it is necessary, I never give more than 2 injections, 6 weeks apart.

Richard Dale Reynolds, MD
El Paso Plastic Surgeon

The Best Time and Ideal Number of Kenalog Injections After Rhinoplasty

Hi Looking, The ideal number of Kenalog injections after rhinoplasty is 0. Kenalog can be injected after rhinoplasty in hopes of decreasing swelling and the formation of scar tissue. There is no ideal time or number of injections. The timing and frequency of Kenalog injections should be determined by your surgeon, assuming that your surgeon is skilled and experienced in rhinoplasty. I hope that your nose heals well. Good luck and be well. Dr. P more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

You should follow your Rhinoplasty surgeon's recommendations

You should follow your Rhinoplasty surgeons recommendations as you are still under his/her care in the acute post op phase of your Revision Rhinoplasty. Now, IMHO, is not the time to go go doc shopping for other advice or recommendations as no one here has any knowledge of what was done to your nose during these two Rhinoplasties and as such should not offer any advice.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Kenalog cannot make a result good by itself

My basic rule for myself is that it is my job to get the nose just right--that means good tip shape and support. If I have done so, Kenalog is never necessary. Kenalog can reduce temporary swelling but cannot make inadequate tip shape into good tip shape. That is the job of the cartilages, and therefore the surgeon. Wait for your healing. "Scar tissue" may not be the cause of your tip shape; it may be not enough, or not well-shaped, tip cartilages... more

Mark B. Constantian, MD
Nashua Plastic Surgeon

drconstantian.com

Kenalog after rhinoplasty

There is no hard rule to how many and how often. I also will inject after the first week in patients who I think have thick skin and are at high risk for scar tissue to form and blunt the result. I'll repeat it at 3-4 weeks if I still think that there is swelling that will respond to it. In ocasional patients I may repeat it again at 3 months but this is not routine for me. Other surgeons have their own routine based on their experience. Some may never do it. Regardless the... more

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

How Many Kenalog Injections Are Ideal After Rhinoplasty?

It is best to have Kenalog injection early post operative period when scar is forming to prevent its formation. Your surgeon is the best person to decide when is the right time to have this done.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Kennalog after rhinoplasy

Unfortunately, steroid injections do not always work. When they seem to improve scar formation,I inject every two weeks until no further improvement is seen.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Kenalog after rhinoplasty

I agree with Dr. Funk. Kenalog should be used after rhinoplasty only if needed. In cases where it is needed, I will usually inject after a month to allow acute swelling and edema to improve prior to injection. There are patients who tend to develop thickened scar tissue after rhinoplasty and it sounds like you are, unfortunately, one of them. Kenalog is particularly useful in reducing and thinning this immature scar tissue if injected before the scar tissue matures... more

Gregory Branham, MD
Saint Louis Facial Plastic Surgeon

Ideal number of Kenalog injections after rhinoplasty

The ideal number of Kenalog injections after rhinoplasty is none. The Kenalog at best is an attempt to thin the skin and subcutaneous tissue and perhaps some scar in the area just above the tip called the supra-tip. The causes of a supra-tip bump are many, and most are related to technical issues with the planning and execution of the procedure. Kenalog can 'save the day' for a few and prevent revision, though the best is to avoid the need altogether. Best of luck... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Injecting Kenalog after rhinoplasty

Injecting a steroid may be beneficial in limiting scar tissue formation but, it is not without its possible side effects. Too much Kenalog can cause significant thinning of the skin and adjacent tissues including cartilage, ulcerations of the skin or the development of small visible blood vessel in the skin (like spider veins). Therefore it should be used sparingly at the surgeon's discretion -- typically two or three times a few months apart.

Adam Hamawy, MD
Westchester Plastic Surgeon

Kenalog (steroid) injection after rhinoplasty - nose job

Kenalog injection after rhinoplasty or nose surgery should be reserved for an area of the nose, typically just above the tip, that remains a little full due to scar tissue. The steroid will help slow the scar tissue formation and provide a smoother result. Typically, steroid is not needed unless you have thick nasal skin, have had previous surgery, or are not healing according to plan. I rarely inject steroid but typically wait 1 month after surgery before the first... more