What is the Time Frame for Steroid Injections on Tip After Rhinoplasty?

asked 2 years ago by ann87 in San Francisco
Latest answer by Scott E. Kasden, MD
Question viewed 1,445 times
Tags: nose, steroid, tip

I had a second open rhinoplasty 5 weeks ago - first one was closed. Now the tip looks different from the rest of the nose: so swollen, it looks like two noses were merged together. I understand that is possible to have accumulated scar tissue after the first rhino. Hence it's not swollen and it might never go away.

But steroid shots could fix this without additional surgery. I would rather wait the required 3-6 months and and only after use the shots. My question: is there a deadline for using the steroid shot or after a certain period is it too late? Thanks.

10 answers to What is the Time Frame for Steroid Injections on Tip After Rhinoplasty?

Steroid injections for post operative rhinoplasty.

I only use these if the swelling is not going down normally and there is a stiffness to the area above the tip after 3 months. You can wait longer without a problem.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Steroid injections of the nose after rhinoplasty

The answer is different in different offices, since there is no data that directly answers your question. My opinion is that kenalog (steroid) injections bring down swelling and limit the deposition of scar tissue. If overdone, they can thin the skin/soft tissue envelope and cause distracting depressions, or alterations in the quality and drape of the skin. But in my experience that is rare. I consider an injection as early as one week post op, typically in cases where its a revision and... more

Kevin Robertson, MD
Madison Facial Plastic Surgeon

There is no time limit for steroid injections after rhinoplasty

I think injections with very dilute kenalog K10 can be helpful with post operative swelling following a rhinoplasty. It needs to be injected deep below the skin in the soft tissue of the supratip (just above the point of the tip). I like to wait 3 months before injecting for the nose settle down and bulk of the swelling to subside.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon

Tip swelling after secondary rhinoplasty

You need to give months, not 5 weeks. The tip in an open, and especially secondary rhinoplasty takes a very long time- up to two years for the swelling to come down. Steroid injections risk thinning the nose, creating dialated blood vessles and perhaps weakening of the cartilege. Be patient

Scott E. Kasden, MD
Dallas Plastic Surgeon

Steroid time frame for injection after rhinoplasty (nose job)

Steroid time frames for injection clearly vary with surgeon and their personal preferences following surgery. I generally consider these beginning at 3 weeks at the earliest and will wait up to 6 moths for ongoing treatment.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Steroid injections after rhinoplasty can cause complications

Ask your surgeon. He/she knows what was done and the expected amount of swelling. Steroid injections are not without complications. ASK YOU PLASTIC SURGEON, We in cyberspace can not be very accurate, because we cannot examine you

Samir Shureih, MD
Baltimore Plastic Surgeon

Steroids after rhinoplasty

I like to wait at least 6 weeks prior to starting injections, but there is no cut-off date as to when they can be given. After a second rhinoplasty, your nose will be swollen much longer, so just be patient for now prior to judging your results. Good luck, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Post rhinoplasty time frame for steroid injections

Steroid injections to manage swelling are most beneficial during the first three months after rhinoplasty surgery. Some patients require injections beyond this time period, depending on their skin type.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Your swollen tip 5 weeks after Revision Rhinoplasty will continue to improve with time.

The wide appearance of your nasal tip is likely due to swelling after your surgery. It is too soon to have any "scar tissue" formation in your tip. You could discuss a steroid (triamcinolone) injection with your surgeon. You could also discuss a short course of oral steroids to help bring down some of your swelling. I hope this is helpful for you

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Steroid injections after Rhinoplasty

Hi, Steroid injections will work any time after a rhinoplasty there is no deadline. Usually I will use steroid injections within the first month after a rhinoplasty and then a month later. I find this works best. Best, Dr.S.