Indentation formed after receiving injection to decrease swelling post op rhinoplasty. Can it be fixed? (Photo)
Doctor Answers 8
Injectyion in nose following rhinoplasty
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.
Best Treatment for Indentation of Nose After Steroid Injection
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, MD
Indentation after rhinoplasty
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!
You might also like...
Indentation formed after receiving injection to decrease swelling post op rhinoplasty. Can it be fixed?
It 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.
Steroid Induced Atrophy
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!
Kenalog injections in the nose causing skin atrophy
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Indentation of nose after steroid injection for months postop rhinoplasty.
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.