I'm two months post-rhinoplasty. I was given a cortisone injection a week after the operation and the swelling went way down but a few weeks later my nose got more swollen. I was given another injection at 7 weeks post-rhinoplasty and after only two days the swelling went away and my nose looked amazing but as of a week later it's getting bigger/more swollen again. It still looks pretty good right now but it looked even better before.
Why Do Steroid Injections After Rhinoplasty Only Provide Temporary Relief?
Doctor Answers (6)
Steroid injections for post operative rhinoplasty swelling
Steriod Injections after Rhinoplasty
Steroids are an anti-inflammatory medicine aimed at temporarily reducing the swelling in your nose (or anywhere in your body). The results are only temporary because the underlying cause of the swelling (your rhinoplasty) will take many months to heal. The injections will give you a somewhat reliable preview of what your final result may be after your body properly reduces the inflammation in your nose over time. Unfortunately, all medicines have side effects and you must be cautious with steroid injections in the nose because over use can leads to permanent thinning of the skin, loss of pigment and or indentations in the nasal contour.
Why do kenalog injections only give remporary effects after Rhinoplasty?
After Rhinoplasty, the nasal tissues swell and create internal scar tissue from the tissue dissection. This is an ongoing procedure for months after a rhinoplasty. Kenalog (steroid) injections temporarilly decrease this scar formation but eventually the steroid is removed, from the nasal tissues, by the body after which the effects would no longer impact the nasal tissue.
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Steroids don't often change rhinoplasty outcome
The beauty of your final result depends on good support and shape established by the surgeon and the ability of your soft tissues to adapt to your new skeleton. If those conditions aren't met, the nose will lose shape--this is often blamed on "scar production" but is usually imperfect underlying skeletal support.
Steroids can reduce temporary swelling but not change a mediocre skeletal shape into a good one. Once you have healed, if your nasal shape isn't what you want, see an experienced nasal surgeon who can advise you. Make sure that you see photos of patients with your current shape whose results you like.
Steroids are only artifically reducing the swelling, you need to wait
Likely that Steroids are only artificially reducing your swelling. You have to let time do that. if done incorrectly, it can actually cause atrophy so make sure that it is being done judiciously
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.