Internal Scar Tissue defining the shape of my nose after rhinoplasty

Steroid injection can definitely dissolve the scar tissues. However, it has be injected deep by someone who has experience with this injection otherwise can cause hollowing and thinning of the skin and broken blood vessels.

Yes.  If the scarring is developing along the previous incision, it is possible and sometimes useful to inject the scar with kenalog (a steroid is an ant-iinflammatory).  This will likely help the problem when the problem is in fact a scar.  Sometimes what you believe to be scar is actually cartilage.  In this case, the injection will not help. It would be wise to therefore schedule a visit to your rhinoplasty surgeon to have this evaluated.

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and RF therapy to help reduce the longterm effects of the scarring. Keloids, hypertrophic scars, widened scars, red scars, and hyperpigmented scars all require scar modulation with topical creams followed by lasers and RF therapy. Topical skincare should be directed to a specific need, whether for pigmentation or hypertrophy and our office can guide you through the process to obtain the correct Plato’s Scar cream or Melarase cream for hypertrophy and discoloration. In terms of lasers, we would employ the vbeam laser for redness, Venus Viva RF, PRP microneedling, chemical peels, and Morpheus 8, fractional erbium, or fractional co2. All of these have their individual benefits. Most of all, we recommend you visit a solid plastic surgeon who understands surgical scar revision, laser therapy, and RF therapy for scars.

Best,
Dr. Karamanoukian
Realself100 Surgeon