Should I Still Be Receiving Kenalog Injections 4 Years After Nasal Surgery?

asked 1 year ago by 1009anon in West Hartford, Ct
Latest answer by Laxmeesh Mike Nayak, MD
Question viewed 771 times
Tags: bridge, nose, female, deviated septum, kenalog, swelling

I had a surgery for deviated septum and minor bridge shaping 4 years ago. I had received the kenalog injections to bring the swelling down but then when all was healed my bridge was straight but my nostrils where hard and slightly odd looking. My doctor continued to use kenalog injections, on the side that he used them on the hardness and odd shape went away but the other side looks funny, he began to inject that side but out of nowhere a piece of uneven cartilage can be seen on the bridge.

5 answers to Should I Still Be Receiving Kenalog Injections 4 Years After Nasal Surgery?

Kenalog injections after rhinoplasty

Kenalog is often used to treat hypertrophic or other types of abnormal scars, and the treatment may involve multiple sessions over the course of several weeks and months. After rhinoplasty, scars usually continue to soften for about a year after surgery. It is not clear if what you are observing on the bridge of the nose is cartilage or a bone spur, but you may wish to discuss with your plastic surgeon possible revision to improve the appearance of your nose.

Olivia Hutchinson, MD
New York Plastic Surgeon

Kenalog injection unlikely to help 4 years after rhinoplasty

I agree with many of the other doctors. While kenalog is useful in the early postop period - first several months - I would not use it 4 years later. Siginificant shape irregularities at that point generally require consideration of revision.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon

www.nayakplasticsurgery.com

Kenalog Injections after Rhinoplasty

Kenalog injections can thin the nasal skin and should be stopped. It is best to treat the underlying asymmetric cartilage - deep temporal fascia may be needed if your skin has become too thin.

Daniel Reichner, MD
Newport Beach Plastic Surgeon

Prolonged injection of kenalog (steroid) following nose job.

It sounds as if a cartilage graft is becoming visible. Occasionally, steroids such as kenalog can help soften or resorb small pieces of cartilage but this should be achieved with a couple of injections only. Prolonged injection can produce thinning of the skin and potentially more visibility of the underlying anatomic structures. see video