Steroid injection for ethnic rhinoplasty to reduce swelling.

Is steroid injection necessary to reduce swelling and to help with scar tissue in African American rhinoplasty? Why or why not? I have a rhinoplasty scheduled but during consult my doctor said that he doesn't use steroid shots. Should I be concerned? I would like to have the least amount of scar tissue possible.

Doctor Answers 6

Steroid injections

Good questions. Generally speaking steroid injections are almost never necessary. They are most commonly used in situations where you want to reduce swelling sooner, but it would most likely resolve on its own. The only exception that comes to mind would be in the case of a hypertrophic scar or keloid. In that case steroid injections would be necessary. If you have a history of either hypertrophic scarring or keloids then, yes you may need to consult with someone who is experienced with steroid injections. Hope this helps. 


Chicago Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Steroid injection

Hello and thank you for sharing your concerns. Steroid injection can help soften a scar and is best used when the scar is healing 6 weeks out. However, steroid injections should be used on specific cases. You should seek another consultation with your surgeon if you are having second thoughts. Best of luck!

Peter Newen, MD
Orange County Plastic Surgeon
4.4 out of 5 stars 31 reviews

Steroids

Hello.  I use steroids routinely in my patients of color. I also employ prolonged taping with nasal massage to control tip aesthetics. Please discuss the postoperative protocol in depth with your surgeon. 
Good luck
DrBurnett#realself100

Carlos Burnett, MD, FACS
Westfield Plastic Surgeon
4.9 out of 5 stars 38 reviews

Steroid Injections to reduce Swelling

In my practice steroid injections are used on a case by case basis. If it is obvious that a patient is experiencing prolonged or significant swelling then I do offer an option of low dose steroid injections. However, these injections are not begun until the patient is at least 6 weeks out from surgery. It has been my experience that patients presenting with thicker, oily skin have a higher incidence of significant post-operative swelling. Even so, only a small number of these patients actually ever needs the injections.  Best of Luck   Dr Harrell

Jon F. Harrell, DO, FACS
Miami Plastic Surgeon
4.9 out of 5 stars 49 reviews

Rhinoplasty and steroid shots

Thank you for your question. As with anything we do, steroid shots have risks and benefits. There's only specific times when steroid shots after Rhinoplasty are indicated, and I would never recommend someone get these prophylactically.

Good luck!

Michael Yerukhim, MD
Cleveland Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Scaring after African American Rhinoplasty

Steroid injections after an African American rhinoplasty should only be used when indicated.  If you develop scar tissue in the nose after the surgery, injections would be warranted.  Steroid injections have risks and they should not be used if not clinically indicated.  I commonly perform rhinoplasty on African American patients and I very rarely ever inject the nose after surgery for scar tissue.  If I would going to inject the nose, I would not use steroids.  I prefer to used 5-fluorouracil instead because I believe it has a safer injection profile.I hope this helps.  

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.