Four Kenalog Injections and Nose is Still Swollen

I'm African American & have really thick skin. I'm 9 months post-op, but nose is still swollen. I'm not happy, it still doesn't look like it did when my splint came off.I've had one 10 mg/cc,one 20 mg/cc,and TWO 40 mg/cc kenalog shots injected in my nose. It does seem like the shots help SLIGHTLY but not that much of a difference. Sometime, it seems my nose looks better 1 or 2 days after the shot, but then it swells back up again.Should i get more or should i stop. I get them done every 6weeks.

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swelling male kenalog thick skin

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2 Doctor Answers | Asked by brown123 in United States

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Rhinoplasty

It sounds like you already know the answer. Repeated kenalog injections especially 40mg/cc solutions can cause problems with skin color, surface contour etc that are not fixable. There are other ways to handle swelling such as keeping the head elevated, sleeping on 2 pillows, application of warm compresses, compression (although that is difficult on the nose). Not knowing exactly what was done at surgery (cartilage grafting, placement of an implant etc) no one here can really advise you what... more

Kenalgo injections after nose surgery

If the swollen area is localized, I would consider increasing the frequency of injection as long as it is due to soft tissue and not due to underlying cartilage. If it is generalized swelling all over your nose, you may want to consider a series of chemical peels such as glycolic acid to help with the swelling. Swelling, particularly in thick skinned individuals and african american, can take a long time to resolve.