Four days ago I had a kenalog injection around the tip of my nose -- I had rhinoplasty 3 months ago. Now I've developed an indentation. I've lost confidence in my surgeon after experiencing one problem after another. (I also have eyelid retraction from bleph that hasn't resolved and a horrible columella scar). Can indentation heal on its own? Will it get worse and can it be fixed via revision? He wants to inject saline. Please help.
October 8, 2014
Answer: Steroid injections to nose The use of steroids post rhinoplasty surgery is quite common. It is extremely important to use a lower concentration of steroid such as Kenalog 10, and a conservative amount of the steroid to avoid potential complications to the nose related to the steroid injection. I am not certain that the indentation will resolve over time. If the indentation in your nose is very obvious, there is no harm in injecting a dermal filler to the nose in order to fill in the indentation. If your nose continues to settle, simply add more filler. After a year, and when the filler has been resorbed, you may elect to have a more permanent solution such as a cartilagenous, fat, or fascial graft placed to camouflage the indentation of your nose.
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October 8, 2014
Answer: Steroid injections to nose The use of steroids post rhinoplasty surgery is quite common. It is extremely important to use a lower concentration of steroid such as Kenalog 10, and a conservative amount of the steroid to avoid potential complications to the nose related to the steroid injection. I am not certain that the indentation will resolve over time. If the indentation in your nose is very obvious, there is no harm in injecting a dermal filler to the nose in order to fill in the indentation. If your nose continues to settle, simply add more filler. After a year, and when the filler has been resorbed, you may elect to have a more permanent solution such as a cartilagenous, fat, or fascial graft placed to camouflage the indentation of your nose.
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September 13, 2016
Answer: An indentation on your nose after a Kenalog injection may be filled with Silikon-1000, depending on your condition.. You probably had a steroid injection to your tip to treat an area of fullness. If this has left an indentation, this may be treated with an Injectable Filler in many cases. Without a photo or examination, it's impossible to advise you regarding your condition. We have had teriffic success filling indentations related to steroid injections: typically from injecting facial scars or acne. If your surgeon is not experienced in using fillers for nasal indentations, you may want to find one who is. Our experience and preference is to use Silikon-1000, an off-label filler for permanent results. I hope this helps. Dr. Joseph
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September 13, 2016
Answer: An indentation on your nose after a Kenalog injection may be filled with Silikon-1000, depending on your condition.. You probably had a steroid injection to your tip to treat an area of fullness. If this has left an indentation, this may be treated with an Injectable Filler in many cases. Without a photo or examination, it's impossible to advise you regarding your condition. We have had teriffic success filling indentations related to steroid injections: typically from injecting facial scars or acne. If your surgeon is not experienced in using fillers for nasal indentations, you may want to find one who is. Our experience and preference is to use Silikon-1000, an off-label filler for permanent results. I hope this helps. Dr. Joseph
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