Dear Back2school, The need of Steroid injections in the tip of the nose to reduce scar tissue or help dissipate scar tissue would be determined by your surgeon. I personally have the need to inject steroids in the nose about once every four or five years and I perform an average of over fifteen rhinoplasty cases a month. When I have injected steroids it was to help reduce swelling and was never used preventatively. Discuss injections with your surgeon and he/she will instruct you of their usage of steroids in patients. Yes you are correct that steroid injections work well in keloid scars however this is comparing apples and oranges. Best regards, Michael V. Elam, M.D.