Can steroid injections lessen size of a visible cartilage graft? (Photo)

Question

I had a rhinoplasty 3 years ago to remove a dorsal hump. I had a revision rhinoplasty 3 months ago to correct the initial procedure (twisted front profile.) I'm pleased with the result, I know a revision will never be perfect and I'm still swollen. Still, I'm very worried about what I think is the edge of a septal cartilage graft (hard to see in picture.) Can steroids lessen the size of this, or will a 3rd revision most likely be necessary? Is any other minimally-invasive correction possible?

J. Phillip Garcia, MD, FACS · Answer

Hello,
At three months post op from a revision rhinoplasty there is still a significant amount of swelling. Steroids by definition work to reduce inflammation.  I recommend returning to your surgeon and allowing him to asses the need for injections or watchful waiting.  Based on the information you've provided I would recommend the latter.
Regards,

Curtis Perry, MD · Answer

Typically no. Steroid injection will tend to thin the skin and do little or nothing to the cartilage graft. The result is likely to make the cartilage even more obvious. Best to wait and see how things settle done.

Steven Wallach, MD · Answer

Steroids are not a good idea because they will not change the cartilage and may cause problems with the skin.

Jeffrey Marvel, MD · Answer

Steroid injections can be used for swelling, but not to dissolve cartilage.  It is best to wait this out.  With time I suspect you will not be able to palpate the edge of the septal graft.  Your body will form scar tissue around the graft.  In addition the graft will usually shrink over time.  Best to wait this out.

Can steroid injections lessen size of a visible cartilage graft? (Photo)

Answers (4)

Answer: No steroids

Answer: No steroids

Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Can steroid injections lessen size of a visible cartilage graft? (Photo)

Answers (4)

Answer: No steroids

Answer: No steroids

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.