Scar tissue in nasal tip 8 years post op. Would steroid injections help? (Photos)

I mentioned this in your other question, I exepected you'd ask this given the epidemic and congatious tendency to inject steroids in noses when the surgeon has no idea what's going on, doesn't know what to do or intends to show sorcerer's skills.

Corticosteroids injected topically are corrosive and destructive, not far from a kind of acid effect.

It's on your photos, you appear to have thin nasal tip skin, and we are seeing white cartilage poking through the skin of your nasal tip. And our experience, microdroplet Silikon-1000 nasal injections maybe considered for adding a cushion of volume in between this cartilage, and the skin, for a less operated looking nasal appearance. This is often a welcome alternative to the cost, inconvenience, and uncertainties associated with revision rhinoplasty surgery. Thank you for this question! Sincerely, Dr Joseph

I would ONLY recommend surgery; any non-surgical intervention would surely not address the issues correctly. I would recommend a revision rhinoplasty with rib graft. The "ball" that you see in the tip is likely a combination of the tip cartilages sutured together over or next to some type of graft (usually a septal extension graft). In your particular scenario, it looks like maybe a shield graft was placed over the tip as well. Over the years, the skin will continue to thin and contract around the cartilage frame work.

Hello and thank you for your question. Based on your photographs, you are a great candidate for revision rhinoplasty. Maneuvers for your surgery would include nasal tip deprojection, placement of a mastoid fascia tip graft, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question. It appears that what you are seeing is actually a tip graft that has now been malpositioned and the skin above it has thinned. A steroid injection would make that significantly worse. The best option for you is to have a tip rhinoplasty in which the cartilage graft is removed, repurpose, and replaced in a better position. You should be able to have an excellent result. Best wishes to you.

You appear to have nasal tip bossae which are a sequelae of aggressive resection and reshaping of the lower lateral cartilages of the nose. Steroid injections will not help this situation. The resection can also impact nasal function as well.

The only solution would be a revision rhinoplasty with tip grafting to restore form and function.

Seek consultation with an experienced revision rhinoplasty surgeon in your area for guidance.

Anti-inflammatory steroids reduce inflammation.
At that they’re very good.
If you don’t have inflammation, then there is less use for injecting steroids.
They can soften up scar tissue.
Sometimes steroids can do too much and they can be overused.
It is uncommon, but steroids can create fat atrophy that can be very disfiguring.
It doesn’t happen very often, but when it does, it can be devastating.
If the problem is Cartlidge and not scar tissue that in injecting steroids will not do anything.
I I use steroids judiciously and only when I think it’s indicated and the risk is justified.
Some providers are quick to jump to a steroid injection.
There may be some desire to let the patient know we tried something.
You’ll get different opinions from different providers on this.
There are also different responses in different people to these treatments.
If the fullness is from a cartilage graft which it may very well be, then the treatment would be a revision rhinoplasty.
Best,
Mats Hagstrom MD