Will Cortisone Tablets Help Swelling After Revision Rhinoplasty?

Question

I had my 3rd and 4th operation around 6 weeks ago, to correct some nasal problems and remove scar tissue and cartilage bumps on the sides of the nose. I went to a regualar doctor here bcus i got some issues with breathing after the operation, mostly bcus of "heavy" swelling. The dc gave me cortisone tabs for the swelling, will this work or do i actually need a steroid injection? My PS lives 5-6 hours away from me so it's kinda far to travel for a injection. Regards.

Sam Naficy, MD, FACS · Answer

injected steroids are far more effective for localized nose swelling than oral steroids - if your entire nose/face is swollen then the oral steroids are probably OK to use

Otto Joseph Placik, MD · Answer

Steroids are commonly used after cosmetic surgery to reduce swelling. However, there is some controversy about their use and not all plastic surgeons routinely use these. I would discuss this with your plastic surgeon even if you do not plan on visiting him/her.

Sigmund L. Sattenspiel, MD · Answer

This is an area of controversy and there are many surgeons who will routinely prescribe
	cortisone tablets following primary and revision rhinoplasty. I do not routinely
	prescribe corticosteroids following rhinoplasty surgery. It is my belief that there needs
	to be a specific indication to prescribe cortisone tablets and in my opinion they
	do not appreciably reduce swelling after rhinoplasty. Although risks are relatively low, there are some potential side effects of corticosteroids

Richard W. Fleming, MD (retired) · Answer

Oral steroids such as prednisone or a Medrol Dose Pak will help to decrease post-operative swelling. I tell patients not to use nasal sprays. Appreciatee your local doctor's treatment, but keep your surgeon in the loop.

Randy J. Buckspan, MD (retired) · Answer

Steroid tablets are very effective and commonly used to control post-operative swelling, including after rhinoplasty. Your doctor should be happy to provide you a prescription until you are seen in follow up..

Will Cortisone Tablets Help Swelling After Revision Rhinoplasty?

Answers (5)

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