Ava,Thank you for the question. I would be highly suspicious of cryotherapy having a beneficial effect for scar formation following a rhinoplasty. Cryotherapy is great, and definitely serves a purpose in terms of post-operative healing, but not for this specific issue. Apart from steroids, another consideration would be 5 Flourouracil ( 5-FU) injections in the area of concern. Of note, early aggressive scar formation following a rhinoplasty can sometimes be caused by bleeding in the supra-tip region, which can easily go undiagnosed and confused for post-operative swelling. Hence, the clinician should be very suspicious of this possibility and take measures to identify and remedy that. Blood is a very reactive substance and can contribute to aggressive scar formation following surgery.
Warmest Regards,Glenn Vallecillos, MD, FACS
Cryotherapy is not used for treating swelling underneath the skin in the supratip area of the nose, because it would damage the overlying skin. Steroid shots, 5-FU, can be injected underneath the skin to help with maturation of the healing process. In addition, Botox can be used to decrease the oil content, Blenderm taping, and topical Retin-A. Best to check with her operative surgeon and make sure they have extensive experience with rhinoplasty