Kenalog 10 months after primary rhinoplasty? (Photo)

Question

Hi, I am 38 and had my surgery 10 months ago. My tip area looks full, is too long and bulbous. I don't think it's swelling anymore, but is probably scar tissue as it is hard and not liquidy. My ENT surgeon refuses to do a secondary on me and very reluctantly agreed to a kenalog shot. My questions: 1. How prevalent are the risks from it? I find no info online. 2. If it's indeed scar tissue and not swelling, should I even get it? 3. In your opinion, would a secondary help here?

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination. Hard to till wither its scar or swelling but either way Kenalog would help you.

Eric M. Joseph, MD · Answer

Based on what you posted, I feel like you have an overprojected nasal tip appearance. I believe that your nose looks better after surgery, however, if you are desiring your nasal tip to be closer to your face, the only way to achieve this would be with a revision rhinoplasty, in my opinion. I would not suggest further steroid injections. Sometimes it's helpful to get a second opinion from another reputable rhinoplasty specialist near you. Wishing you well moving forward. Sincerely, Dr Joseph

Pawel Szychta, MD, PhD, DSc · Answer

Kenalog can reduce scar tissue after rhinoplasty but carries risks like tissue thinning or irregularities. At 10 months, your firmness likely indicates scar tissue, not swelling. A secondary rhinoplasty may help with structural concerns, but revisions are typically considered after 12-18 months. Consult a specialist or seek a second opinion before proceeding.

Kenalog 10 months after primary rhinoplasty? (Photo)

Answers (3)