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Steroid Injections for Every Checkup

Is it standard procedure for the doctor to give steroid injections at every checkup appointment?-about every 6 weeks for a year following the surgery? Is it safe to keep injecting the nose with steroids? What negative effects can this cause?

Doctor Answers 9

Steroid Injections at Every Checkup Not Recommended

Not only is it not standard, it should not be done routinely. Some post-rhinoplasty patients do benefit from a short series of steroid shots; mostly to help with isolated areas of undue swelling in the supratip area. I limit steroid injections to 2 or 3 over a period of 6 weeks, and probably do it in less than 5% of my patients. 

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Not routine

I agree that this is not a typical routine practice, and if the procedure goes as planned, these can be omitted altogether in most cases.  I agree with the risks as others have outlined.  If you are unhappy with your result, consult another rhinoplasty surgeon for a second opinion.

Colin Pero, MD
Dallas Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Steroid injections can be invaluable

The use of steroids can be invaluable for helping to assure the most refined results.  I typically will use Kenalog injections starting on the 3rd or 4th week, then continuing as often as every 4 weeks until the healing is just as I picture.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
5.0 out of 5 stars 63 reviews

Steroid injections a year after rhinoplasty

Steroid injections are not the norm after rhinoplasty, and injections after a year are not likely to be effective in changing the nasal shape without a risk of thinning of the skin, broken blood vessels, and dents. If your intention is avoiding a revision, after one year all bets on steroids are off.

Best of luck,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 33 reviews

Intra-Nasal Steroid Injections After Rhinoplasty

Hi Stormy,

I personally limit steroid injection sessions to three, separated by about 3 to 4 weeks.  Every surgeon has their own "method", but one must be careful to not distort the skin and soft tissue from overuse of steroid injections.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Steroid Injections for Every Checkup

If you have not got any side affects such as excessive thinning of skin and atrophy, then you are fine. Although every 6 weeks of steroid injection is much too often but sometimes with a very thick skin, repeated injection of diluted steroid is required to keep scar formation at bay.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon
4.5 out of 5 stars 7 reviews

It is not recommended

The concern is long effect and tissue thinning and skin depression. I would recommend second opinion with a board certified plastic surgeon.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.5 out of 5 stars 70 reviews

Steroid Injections for Every Checkup

It is not a standard procedure to injecte the nose with steroids every 6 weeks.

This habit can result in but not limited to thinning out of the tissues and atrophic changes

Erel Laufer, MD
Dunedin Plastic Surgeon
5.0 out of 5 stars 25 reviews

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