Kenalog Injection After Rhinoplasty?

I've had 2 kenalog injections after my rhinoplasty , this last one ( given a month ago) was at 0.1 ml of Kenalog 20. It's left a very small dent and I was wondering if this will get better with time? Is it because of fat atrophy or collagen atrophy? I was once given Kenalog 40 for Cystic acne on my cheek and chin it also left a dent ( a bigger one) but its back to normal now, will this happen with the small dent on my nose?

Doctor Answers 5

Dent after a Kenalog Injection

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A hollow or indented area can occur with Kenalog as a result of the dissolution of normal tissue. It sounds like this is what happened. I generally recommend dermal fillers such as Juvederm or Restylane to correct this; however I would suggest that you wait 2-3 months before filling the area as the tissue can return to its original state.

Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

Skin changes after Kenalog

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Kenalog is known to cause atrophic changes to the skin and soft tissues. 0.1cc of Kenalog 20 is definitely not a high dose, I guess your skin is just very sensitive to it. I suggest you give it some time and see what happens. Quite frequently, the skin may recover and subcutaneous tissues may rebuilt thus eliminating the problem.  If the problem persist, then a small injection of filler would be a prudent option. Stay away from Kenalog from now on.

Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 32 reviews

Dent after Kenalog injection

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Yes, Kenalog can create atrophy and a dent. Hopefully it will get better but only time will tell. Probably wouldn't get any more. 

Dent Formation After Corticosteroid Injection

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Dear Janie,


The "dent" that has formed after the injection of Kenalog should not form normally.

But since you have had previous experience with the same drug at different dosage and you recovered from the dent, I would advise you to wait around a month to see what the final results will be.


If the dent persists, consulting with your surgeon is important as fillers to repair the hollowed area could be an option.


Best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Kenalog for the nose

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In general kenalog can cause fat atrophy, skin atrophy and discoloration at the injection site. The question for you is why was kenalog injected after rhinoplasty?. 

Moneer Jaibaji, MD
San Diego Plastic Surgeon

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.