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Steroid Injections Before Revision Rhinoplasty

asked 2 years ago by blacksun_rise in home
Latest answer by Stephen Prendiville, MD
Question viewed 452 times
Tags: steroid, swelling

What kind, amount, and concentration of steroids are injected in cases of excess swelling after Rhinoplasty? I only am asking this because I am considering a 2nd rhinoplasty after my previous doctor messed up my nose by doing things in my surgery. If I had researched, I would have known what were not normally done in rhinoplasty and I could have prevented having to now have a second operation.

I just want to know that everything is done right. Also, I have very thick, oily skin that stays swollen forever and has broken out horribly for 4 months after my last surgery, due to swelling putting pressure on oil glands.

3 answers to Steroid Injections Before Revision Rhinoplasty

+1

Thick Skin Equals Tough Rhinoplasty

As Dr. Rand pointed out, thick oily skin is a very challenging problem in Rhinoplasty. Understanding this point is key to understanding that Rhinoplasty offers patients a range of results which are limited by thick skin. It is very difficult to obtain great tip definition, swelling tends to last longer, and results tend to be less impressive in virtually any Rhinoplasty surgeon's hands. It is important to understand that the nose is responsible for 80% of our breathing; the surgeon's... more
Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon
+1

Be careful in having anti-inflammatory injections into the nose

You have to be very careful injecting any anti-inflammatory steroids into the nose. You may be better off with the standard Solumedrol dose pack taken orally for about 5 days. Injections have to be small or dilute with 4 or more weeks between injections because if you over do it which is quite easy to do you will end up with dents and skin damage that may be impossible to fix. If you have or are developing a rhinophyma the solution is a bit more complicated. Most rhinoplasty procedures are... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Unhappy rhinoplasty

It sounds as though with your skin envelope you will never have a great rhinoplasty no matter who is doing it. Patients with think oily skin cannot have a well defined result the same way as a person with thinner skin. Make sure before you do anything that your new doctor clearly sets your expectations at an appropriate level or you will be in for another disappointment.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

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