Steroid injections for decreasing nose bridge height?

If the prominence is due to the rib graft, steroid injection will not help--the bone needs to be rasped lower. Steroid injections can dissolve scar but they also dissolve fat and other tissue and can leave a depression on the nose. If your doctor recommends injection and he is an expert and feels the problem... more

Dear Tiana, Steroid injections are used sparingly in order to help settle swelling and occasionally to help prevent scar tissue from being laid down. When the bridge height is too high as a result of a graft- whether it be rib or silicone- steroids will not really help this situation. Since surgery was done 6... more

Steroids, if used in a dilute form, will decrease the swelling in the tip if a substantial amount of swelling occurs early after surgery . Placing steroids in the dorsum is not a good idea in my opinion due to thinning of the skin.

Hi Tiana, Steroid injections will not significantly reduce the dorsal height of your nose 6 months after rib cartlilage grafting.  You should discuss your concerns with your rhinoplasty surgeon and consider a revision surgery in 6 to 12 months if the condition continues to trouble you.  Good luck and... more

The kenalog injection will only affect your subcutaneous fat, making the skin dented. I would not recommend it. Revision surgery in 6-12 months is the best way to go.

 Steroid injections will be of no benefit and may actually be harmful.  This could cause a thinning of the skin of this area along with the formation of spider veins.   You should give this area a bit more time.  If the rib graft was placed too high as you have stated then it is possible... more

Steroid injections have a role in many aspects of medicine, but not in your case. I believe that a steroid injection in this area could lead to thinning of the skin, neo-vascularit of the skin (serpentine small blood vessels that form) and possibly even erode the skin.  I think an open revision would be... more

Return to your surgeon and have him remove part of the graft lowering the height. Unfortunately, steroid injections will not work and may make it worse. 

Injections of kenalog and steroid preparations into the superficial aspect of the nose can cause premature atrophy of overlying soft tissue and accentuate bony deformities and cartilage assymetry. Discuss these options with your treating surgeon. A more appropriate therapy would be to inject absorbable or... more

Thanks for yout question - Steroid injection is not a safe way to correct nasal contour.  It is difficult to control the end result and you are likely to have skin hypopigmentation, possible graft infection and tissue atrophy. It would be much better to address the position, shape and size of the graft... more