How Many Kenalog Injections Are Ideal After Rhinoplasty?

Kenalog injection after rhinoplasty or nose surgery should be reserved for an area of the nose, typically just above the tip, that remains a little full due to scar tissue.  The steroid will help slow the scar tissue formation and provide a smoother result.  Typically, steroid is not needed unless you have thick nasal skin, have had previous surgery, or are not healing according to plan.  I rarely inject steroid but typically wait 1 month after surgery before the first injection.  Then, injections are reserved for every 6 weeks if necessary.  Overinjection can lead to dermal atrophy or thinning of the skin.   Good luck.  

Swelling
after rhinoplasty particularly in the nasal tip is normal and is a part of
normal healing. There is little to stop the tip of your nose swelling as only a
small volume of swelling can be visible in this area of the nose.

A
combination of factors will help with reducing swelling. Firstly, sleeping with
your head slightly elevated above the rest of your body. Secondly, the use of
taping compression of your nose soon after surgery. Thirdly, the use of
anti-inflammatory treatments to the tip of the nose, including steroids. Dr. De
Silva advocates the use of such medicine in most patients to speed up the
resolution of swelling and ensure faster recovery after surgery. Although the
final results of rhinoplasty can be more than one year after surgery, the use
of anti-inflammatories can shorten this period considerably. Patients with
thicker skin which includes certain ethnicities and ethnic rhinoplasty, may
benefit from more than one anti-inflammatory treatment. As with every medication there is always a small risk of
side effects and anti-inflammatory medications are not suitable for every
patient. There is no optimal number of treatments, as the number of steroid injections should be tailored to your individual needs some patients may need no treatments at all, some may require a course of steroid treatments to give the best final result.