Can a Surgeon Other Than the One That Performed Surgery Administer Kenalog Injections 3-4 Wks After Rhino?

How Long Till They kick in, & how long do they last? I got an open rhinoplasty/medpor implant that looks awful 2 weeks ago & hate how I look, but the swelling (in & out) makes it worse.My surgeon is out of state & gave me a prednisone dose I've run out of. I have thick, ethnic, acne-prone skin prone to pitting but regularly get cortisone injections w/no trouble.What can I do to minimize a bad situation? When is it safe to try a 3rd rhino/de-rotate my tip?I don't want the medpor implant to be too hard to remove.

Doctor Answers (2)

Kenalog injections and rhinoplasty


In general, the results of Kenalog injections are evident within a few days. You will want to have the injections performed by your surgeon if possible, as they know the details of your initial procedure. But if necessary, you can get a referral to another surgeon who can perform the injections for you. I would not consider a revision procedure just yet, as you are still experiencing swelling from your procedure. Patients with thick skin will have swelling that lingers for a longer period of time, and it can take a while before the final result is evident. I would wait a full year before considering a revision. Some factors that can lead to the degree of swelling are as follow:

1) Thickness of the patient's skin
2) Whether the procedure was a revision
3) Whether or not the procedure was open or closed
4) Whether or not tip work was performed

I hope this helps, and I wish you the best of luck.

Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

Kenalog or 5-FU injections for out of town patients


Touch base with your surgeon regarding your concerns.  He/she may be able to recommend a doctor in your area that could perform the injections, if that is what he/she thinks would be best to minimize your swelling.  I would wait a full year before considering another revision.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

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