How Long Should I Wait to Get Steroid Injection to Dissolve Scar Tissue After Rhinoplasty?

Question

i had open rhynoplasty done 3 months ago.to reduce the size of the tip it was too round i was pleased with the results after 2 weeks of my surgey, but after the 4th week my my nose started swelling even more even my doctor noticed she told me this was normal an that I should wait a few more months but the swelling is getting worse and the tip of my nose is hard to the touch. i was wondering if steroid injections would help?is 3 months too soon for that option? my nose looks bigger than before

Kevin M. Robertson, MD, FACS · Answer

You should definitely consider a kenalog injection.  First, it can be done safely as early as a month post op.  Second, it works.  Not only does it soften some of the early firmness associated with surgery, but it also prevents the deposition of scar tissue.  Third, it does not induce soft tissue atrophy if used in the correct plane and the correct concentrations.  You will see that most of the physicians who suggest kenalog all mention small amounts, spaced at least 4-6 weeks apart.  Done properly, you will not see soft tissue atrophy.

	There are a number of studies that support the use of kenalog, so you don't have to just take our collective word on this.  Some, like an article a few years ago by Pastorek, suggest it's use in almost every rhinoplasty.  So I can assure you that it is safe, effective, and standard of care.  And from what you describe about your experience, it sounds like just the ticket.

P. Daniel Ward, MD · Answer

Hi Grimesland,

	Steroid injection with a low dose of Kenalog-10 may be a perfect treatment for the swelling in the area just above the tip (the supratip region).  Sometimes, scarring can occur here and injections of steroid can help reduce this swelling.  However, swelling after rhinoplasty is VERY common and is usually not cause for alarm.  Discuss this with your facial plastic surgeon and determine if she would consider a steroid injection.

Michael A. Persky, MD · Answer

Hi Grimesland,

	3 months after rhinoplasty is not too soon to have a small dose of Kenalog-10 (steroid) injected into swollen areas of the nose.  In fact, many rhinoplasty surgeons have injected open rhinoplasty noses as soon as one to two weeks after surgery.  Enjoy your new nose. 

	Dr. P

Kevin Sadati, DO · Answer

Dear Rhinoplasty patient from Grimesland, NC
	It is difficult to render a professional opinion based on your description. I agree with Dr. Ridgway regarding formation of ploy beak deformity. This can occur as result of scar formation at supra tip area. Three months after rhinoplasty, it is reasonable to have Kenalog injection to prevent further hardening of scar. Talking to your surgeon is the best way to have your problem resolved.
	Good luck and good healing

James M. Ridgway, MD, FACS · Answer

From what you have described you are developing rounding and fullness along the nasal tip. Concerns for developing a poly beak deformity secondary to scarring in the supratip region exist. Without an image to review any commentary is speculative, but if you developing this form of scarring you will want to have a Kenalog injection (steroid) performed now before things are too late, not too early. You should contact your physician.

Best regards,
	James M. Ridgway, MD FACS

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How Long Should I Wait to Get Steroid Injection to Dissolve Scar Tissue After Rhinoplasty?

Answers (9)

Answer: Scar formation after rhinoplasty

Answer: Scar formation after rhinoplasty

Answer: Septorhinoplasty: Common Concerns

Answer: Septorhinoplasty: Common Concerns

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.