Hello and thanks for your question. Steroid injections are sometimes part of the protocol used after rhinoplasty to minimize swelling and the buildup of scar tissue. It is more frequently seen in patients with thicker skin that may not heal as efficiently. These injections can be performed within weeks after the surgery or even years later if the results of the procedure have been less than satisfactory. While there are benefits of steroid injections for the right patient, there are drawbacks to the practice as well. In some circumstances, steroids can cause the tissue to atrophy and pull in, distorting the final appearance of the nose. For this reason, the use of steroids after rhinoplasty should be carefully weighed based on the benefits versus the possible risks. The best advice is to seek an experienced, qualified plastic surgeon that is experienced in all aspects of rhinoplasty to ensure your procedure goes as smoothly and successfully as possible.Regards,- Elbert T. Cheng, MD