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Posted underAfrican American Rhinoplasty q&a

Do I need a steroid injection 4 years after rhinoplasty? The tip seems to have gotten bigger. (Photos)

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betttyboop1221Aug 12, 2025

I am 28, black, received rhinoplasty in 2021. The surgeon that did my nose, no longer does rhinoplastys.

Answers (3)

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Dr. Andrew Miller, MD
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Dr. Andrew Miller, MD
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Answered on Aug 23, 2025
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Dr. Gary M. Horndeski, MD
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Dr. Gary M. Horndeski, MD
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Answered on Aug 13, 2025
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Aug 13, 2025
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Mark Beaty, MD

Rib cartilage may be necessary for ethnic rhinoplasty, depending on the nasal structure and goals. Many ethnic noses have thicker skin and weaker underlying cartilage, so using rib cartilage can provide more substantial support and definition, especially for building a higher, more refined...

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Andrew Miller, MD

Based on your photos, you are a good candidate for rhinoplasty. Your desired photo is not unreasonable as you only made the tip a little smaller with smaller nostrils. Be sure to see a rhinoplasty expert for consultation.

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Andrew Miller, MD

I don't know many expert rhinoplasty surgeons who don't do chin augmentation as well, so watch out for that. It is absolutely best to do both at the same time - you usually get a little price break as well just having one recovery. If you can do only one, it really doesn't matter what is done...

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Gary M. Horndeski, MD

If you do not want to do a lip lift because of the fear that is will make the upper lip fuller then you can be corrected with a rhinoplasty. Septal cartilage can be used to lower the septum and change the position of the columella. Also, you can use the sharp tip of the nose as well. You may...

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Eric M. Joseph, MD

If your nasal appearance is not giving you significant aggravation, it's best to avoid rhinoplasty surgery. If you feel that your nose is a bit wide and wish to change upon that, please consider meeting with several reputable rhinoplasty specialists so you can see what to expect after surgery. I...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. That should not be an issue. But you should contact your surgeon as well. Alcohol in moderation is okay for my patients. Best wishes and good luck. Richard G. Reish, M.D. Harvard-trained plastic surgeon

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