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How Long Should I Wait for Kenalog Injections to Take Effect in the Nose?

Hello, I had a an open Rhinoplasty 5 months ago, and today my surgeon injected a small dose of Kenalog in my nasal tip. I have thick scar tissue that is very firm. Should I expect to see a reduction in swelling soon, or does it take a while to take effect? I forgot to ask my surgeon when I was there. Thank you for all of your advice, it has been very helpful throughout my recovery!

Doctor Answers (13)

Steroid injection in nose scar tissue can take 6-8 weeks to note changes.

+3

Since steroid injections work by breaking the bonds between collagen (scar) bundles, the effect of localized steroid injection is to reduce scar tissue bulk beneath the surface of the skin. These injections need to be skillfully placed deeply enough to avoid excessive shrinkage of the normal dermis, causing depression and thinning of the skin. That is why most of us who perform steroid injections to improve results do so conservatively, starting with low doses. I usually wait 6-8 weeks so that I am not inadvertently "double-dosing" and causing excessive thinning. You can always inject more and stronger, but it is impossible "take it back" if the response is more than anticipated.

Be patient and follow your surgeon's advice; it sounds as if he or she is following good practice by starting conservatively. Good luck!


Minneapolis Plastic Surgeon
5.0 out of 5 stars 118 reviews

In my experience, Kenalog injections in your nose following Rhinoplasty Surgery will show results within a month.

+2

I read your concern. In my practice, Kenalog-10 is occasionally used in the "supra-tip" area for stubborn swelling. In my experience, Kenalog may start working as soon as 1-2 days following your injection, and the drug is almost completely out of your system by one month after your injection. In that regard, a repeat injection may be performed 2-4 weeks after the first.

Regards from NJ:

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
5.0 out of 5 stars 274 reviews

Kenalog After Rhinoplasty

+2

Hi 3802anon in Texas -

Many patients see a response in the first two weeks. Often more than one injection is indicated. The spacing of the injections is usually 6-8 weeks. Also, there are different strengths of Kenalog. One usually starts with a weaker strength.

Sincerely,

Tom Kaniff

Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

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How Long for Kenalog Injections to take Effect after Rhinoplasty

+2

Your surgeon will probably wait 3-4 weeks to evaluate the effects of the Kenalog injections and decide if serial injections are necessary.  Some surgeons feel this is appropriate in thick skinned noses, even though the Kenalog will be active for another 3-4 weeks.

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How long to wait for Kenalog injections take effect in the nose

+1
Kenalog injections are frequently injected in the supra tip area of the nose during the first few months after the rhinoplasty procedure to help prevent fluid  and scar tissue accumulation  in that area. The injections usually take approximately one week before the patient notices any effect. Thick skin individuals usually  require more than one injection. For many examples of rhinoplasty, please see the link  below

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When do the effects of steroid injections become apparent?

+1
Steroid injections following rhinoplasty are indicated when there has been excessive scar tissue production deep to the skin - this manifests itself by the appearance of swelling. This is most commonly in the supratip (area just above the tip) or tip regions. Steroid injections typically take about 2-3 weeks to start to work. They should be used judiciously as when too much is injected or injections are performed to frequently, they can cause excessive thinning of the skin or loss of pigmentation that can take a long time to resolve. If further injections are required, they are typically done at least 6 weeks after the previous injection. It is better to be more conservative using steroid injections following rhinoplasty than be too aggressive.

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Kenalog injections require 4-6 weeks to reach full effect

+1

Kenalog injections work by inducing apoptosis (programmed cell death). This effect, plus the dissolution/dissapearance of the dead cells, takes several weeks to occur.

Treating again too soon generally results in overcorrection/overdoing it. Your surgeon is wise to go slow.

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Kenalog Injections for Nasal Swelling

+1

I typically use Kenalog for the small group of patients with persistent swelling above the nasal tip after undergoing Rhinoplasty. The earliest I will inject is usually 6-8 weeks after surgery. Injections can be repeated as needed in 3-6 week intervals depending upon the degree of persistent swelling and the clinical response to the treatment. The Kenalog begins to work immediately but it may take weeks to months to see a definite result. Results may also depend upon the dosage of Kenalog used by your surgeon. Kenalog will not correct problems related to under-correction of the cartilage of the lower nasal bridge or inadequate correction of poor tip projection - both of which may create undesireable supratip prominence. Best of Luck - Dr Harrell

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Kenalog injection after rhinoplasty

+1

Dear 3802anon,

I usually wait about a month in between injections.  It takes about this long to see the result from injections.  The injections are really nice at bringing down swelling.

Best,

Nima Shemirani

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How long for Kenalog to work post-rhinoplasty

+1
Most surgeons wait 3-4 weeks after Kenalog steroid injections to see the effect. Multiple injections spaced monthly are usually required. Regular follow-up with your surgeon will be required for the best result.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.