Indentation formed after receiving injection to decrease swelling post op rhinoplasty. Can it be fixed? (Photo)

Dear hbp927It is hard but wise to be patient. Very often, post steroid atrophy noticeably reverses with time. You can use a little hyaluronic based filler injection to smooth out the dent and use makeup on the thinned skin. It often gets better in a few months with the skin thickening and some of the subq fat returning. Once one year has passed from the steroid injection, you can consider a more permanent solution if needed.

Hi Hbp,Best to discuss this with your rhinoplasty surgeon.  If you were my patient I would use either Restylane or Juvederm injected with a microcanulla to correct the depression.  Good luck and be well.Michael Persky, MDEncino, CA

 I share your concern, but a more detailed history and better pictures may be necessary for any informed opinion.it is important to know what type of injection you had post-op to decrease the swelling. If a steroid was used, atrophy of the underlying fat and thinning of the skin may occur. It is difficult to assess any of that from the pictures posted.on the profile view,  it is not so much the indentation but a small residual hump that stands out more to me. It is more likely the combination of the two that may need to be addressed in the future.you should certainly discuss your concerns with the plastic surgeon. He/she may be able to guide you in the proper direction. If you are still unhappy, you may want to get a second opinion from another board-certified plastic surgeon or a facial Plastic surgeon.by the way, any minor irregularities can be treated with fillers. Good luck!

Hello,There is a difference between thinned skin and thinned subcutaneous tissue below the skin.  If your skin is still reasonably thick, a collagen inducing filler like Radiesse might work very well, and give you long term results.Best of luck!

Indentation of nose after steroid injection four months postop rhinoplasty. If the skin is very thin even a filler may create a bump. I would need to see your nose to determine what can be done next and how soon it should be done. Normally you would wait at least another four months before doing anything because the nose will still change due to swelling. See your surgeon and a very experienced revision rhinoplasty surgeon if you do not have confidence in your surgeon. Do NOT rush to fix this and create a worse problem. 

I presume that steroid injection was performed to reduce swelling. If steroid injection is performed it must be injected in very dilute concentrations. Steroid injection is associated with subcutaneous fat atrophy, telangectasia, and hypopigmentation and skin thinning. This deformity can best be corrected by connective tissue grafting with fascia.If the overlying skin is thin I would not recommend Hyaluronic acid fillers.

Michael Eisemann M.D.

Houston, Texas

Atrophy is a risk of steroid injections. I suspect you had Kenalog placed in your nose. It sounds like this has thinned your skin and changed the contour of your bridge. Your best bet at this point is to do nothing. I have seen atrophy from Kenalog and in most cases where a reasonable dose was injected, the atrophy will resolve over 4-6 months. If it does not you could consider very conservative filler injections to camouflage the depression in your nasal bridge skin. However, I would wait another three months before considering any additional treatments. Hopefully, this will resolve on its own. Best.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Thank you for the photos but they don't really show what is going on so get some in person second opinions from experts in your areaDr Corbin