Rhinoplasty: Q&A
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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?
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9 Doctor Answers |
Asked by
Stormy100
in IL
+1
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.
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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.
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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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+1
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,
peterejohnsonmd
+1
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
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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.
Huntington Beach Facial Plastic Surgeon
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Steroid injection into nose scar tissues every 6 weeks IS a bit aggressive!
But, aside from your concern that obviously stimulated this question, you should be able to see if:
Benefits are seen; i.e., scar lump or irregularity is reduced
Excessive thinning or more irregularity is being caused
Little or no response (which may be fine if your doctor is using weak and/or small doses)
I do use steroid injections when necessary or advisable to help reduce minimal subcutaneous...
more
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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.
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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
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