I received a rhinoplasty and septoplasty about 4 months ago now. Right after surgery my nose looked perfect, but was a little swollen. So my surgeon decided to give me an injection to decrease swelling. About a week later an indentation had formed and it never went away. My surgeon tried to fix this by giving me a saline injection and an injection meant to reverse these effects but neither worked. My skin is now so thin you can see every little bump in the bone as well. What can be done?
September 14, 2015
Answer: Kenalog injections in the nose causing skin atrophy 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
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September 14, 2015
Answer: Kenalog injections in the nose causing skin atrophy 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
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September 11, 2015
Answer: Indentation of nose after steroid injection for months postop rhinoplasty. 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.
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September 11, 2015
Answer: Indentation of nose after steroid injection for months postop rhinoplasty. 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.
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